Provider Demographics
NPI:1770569055
Name:SALZMAN, IGNACIO JORGE (MD)
Entity type:Individual
Prefix:DR
First Name:IGNACIO
Middle Name:JORGE
Last Name:SALZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10116 POINTVIEW CT STE 216
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-6334
Mailing Address - Country:US
Mailing Address - Phone:407-717-6940
Mailing Address - Fax:407-717-6940
Practice Address - Street 1:7350 FUTURES DR STE 1
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9082
Practice Address - Country:US
Practice Address - Phone:407-717-6940
Practice Address - Fax:407-717-6940
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-19
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME71112207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251973900Medicaid
FL31434Medicare ID - Type Unspecified