Provider Demographics
NPI:1124008891
Name:HAMADE, SALIM N (MD)
Entity type:Individual
Prefix:
First Name:SALIM
Middle Name:N
Last Name:HAMADE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SALIM
Other - Middle Name:
Other - Last Name:HAMADE, M.D., P.A.
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:900 CARILLON PKWY
Mailing Address - Street 2:SUITE 112
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-1121
Mailing Address - Country:US
Mailing Address - Phone:727-233-0111
Mailing Address - Fax:727-231-8100
Practice Address - Street 1:900 CARILLON PKWY
Practice Address - Street 2:SUITE 112
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-1121
Practice Address - Country:US
Practice Address - Phone:727-233-0111
Practice Address - Fax:727-231-8100
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFLME0071332207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHF916AOtherMEDICARE GROUP PTAN
FL008305300Medicaid
FL008305300Medicaid
FL32180YMedicare PIN