Provider Demographics
NPI:1891931267
Name:SALVADOR, MARIA VANESSA COMIA (MED)
Entity Type:Individual
Prefix:MISS
First Name:MARIA VANESSA
Middle Name:COMIA
Last Name:SALVADOR
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9738 SUMMER GROVE WAY W
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-8872
Mailing Address - Country:US
Mailing Address - Phone:904-861-5896
Mailing Address - Fax:
Practice Address - Street 1:9857 OLD SAINT AUGUSTINE RD
Practice Address - Street 2:SUITE 6
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-8853
Practice Address - Country:US
Practice Address - Phone:904-880-9001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist