Provider Demographics
NPI:1669897583
Name:SALHAB, JOSEPH A (DO)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:SALHAB
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:40124 HIGHWAY 27 STE 204
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-5905
Mailing Address - Country:US
Mailing Address - Phone:863-419-2156
Mailing Address - Fax:863-419-2157
Practice Address - Street 1:40124 HIGHWAY 27 STE 204
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-5905
Practice Address - Country:US
Practice Address - Phone:863-419-2156
Practice Address - Fax:863-419-2157
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-28
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS13582207RG0100X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program