Provider Demographics
NPI:1780040568
Name:CARL SALVATI, DPM, PA
Entity Type:Organization
Organization Name:CARL SALVATI, DPM, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:M
Authorized Official - Last Name:SALVATI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:352-351-4444
Mailing Address - Street 1:812 NE 25TH AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-6379
Mailing Address - Country:US
Mailing Address - Phone:352-351-4444
Mailing Address - Fax:352-351-4920
Practice Address - Street 1:812 NE 25TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-6379
Practice Address - Country:US
Practice Address - Phone:352-351-4444
Practice Address - Fax:352-351-4920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-08
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7560400001Medicare NSC
FLHH6277Medicare PIN