Provider Demographics
NPI:1013883966
Name:ERVAST-SALMON, DAVID ERIC (MM, MT-BC)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ERIC
Last Name:ERVAST-SALMON
Suffix:
Gender:M
Credentials:MM, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 CONWAY RD APT 74
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-4539
Mailing Address - Country:US
Mailing Address - Phone:850-273-9501
Mailing Address - Fax:
Practice Address - Street 1:2460 CONWAY RD APT 74
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-4539
Practice Address - Country:US
Practice Address - Phone:850-273-9501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty
No171W00000XOther Service ProvidersContractor