Provider Demographics
NPI:1639128184
Name:SALAMON, JOEL WINKLER (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:WINKLER
Last Name:SALAMON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:350 N PINE ISLAND RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1849
Mailing Address - Country:US
Mailing Address - Phone:954-476-8800
Mailing Address - Fax:954-476-1362
Practice Address - Street 1:15600 NW 67TH AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-0000
Practice Address - Country:US
Practice Address - Phone:305-828-8260
Practice Address - Fax:954-476-1362
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME72351207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G43421Medicare UPIN
32774WMedicare PIN