Provider Demographics
NPI:1457607723
Name:SALVATI, CARL MATTHEW (DPM)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:MATTHEW
Last Name:SALVATI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 NE 25TH AVE STE A
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 STE A
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
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 3571213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPO3571OtherLICENSE
FLFS3445409OtherDEA