Provider Demographics
NPI:1689780926
Name:AMER, SALAH (MD)
Entity Type:Individual
Prefix:
First Name:SALAH
Middle Name:
Last Name:AMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3449 NE 1ST AVE
Mailing Address - Street 2:APT L61
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-3983
Mailing Address - Country:US
Mailing Address - Phone:305-281-4549
Mailing Address - Fax:
Practice Address - Street 1:1380 NE MIAMI GARDENS DRIVE
Practice Address - Street 2:STE 140
Practice Address - City:NORTH MIAMI BCH
Practice Address - State:FL
Practice Address - Zip Code:33179
Practice Address - Country:US
Practice Address - Phone:305-948-3990
Practice Address - Fax:305-948-3929
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL58497207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL370470000Medicaid
FL12875VOtherFLORIDA BLUE SHIELD
FL12875QMedicare PIN
FL12875VOtherFLORIDA BLUE SHIELD