Provider Demographics
NPI:1750445037
Name:JOEL SALAMON MD LLC
Entity Type:Organization
Organization Name:JOEL SALAMON MD LLC
Other - Org Name:PAIN CARE SPECIALISTS OF SOUTH FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-755-0560
Mailing Address - Street 1:7149 NW 127TH WAY
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-1982
Mailing Address - Country:US
Mailing Address - Phone:954-755-0560
Mailing Address - Fax:954-755-0560
Practice Address - Street 1:7149 NW 127TH WAY
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33076-1982
Practice Address - Country:US
Practice Address - Phone:954-755-0560
Practice Address - Fax:954-755-0560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME772351207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty