Provider Demographics
NPI:1750318606
Name:EL-SALAWY, SHERIF M (MD)
Entity type:Individual
Prefix:DR
First Name:SHERIF
Middle Name:M
Last Name:EL-SALAWY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 TOWN PLAZA AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA
Mailing Address - State:FL
Mailing Address - Zip Code:32081-5179
Mailing Address - Country:US
Mailing Address - Phone:904-834-3440
Mailing Address - Fax:
Practice Address - Street 1:351 TOWN PLAZA AVE STE 202
Practice Address - Street 2:
Practice Address - City:PONTE VEDRA
Practice Address - State:FL
Practice Address - Zip Code:32081-5179
Practice Address - Country:US
Practice Address - Phone:904-834-3440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY272366207RG0300X
FLME865382083P0011X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL254065700Medicaid
FL254065700Medicaid
FLK0329Medicare ID - Type UnspecifiedGROUP