Provider Demographics
NPI:1801967328
Name:SALOMONI, CHRISTOPHER VINCENT (PT)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:VINCENT
Last Name:SALOMONI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1595 SW SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-2237
Mailing Address - Country:US
Mailing Address - Phone:561-573-6667
Mailing Address - Fax:561-757-7029
Practice Address - Street 1:1595 SW SAINT ANDREWS DR
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-2237
Practice Address - Country:US
Practice Address - Phone:561-573-6667
Practice Address - Fax:561-757-7029
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 12779225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY8212Medicare ID - Type UnspecifiedPHYSICAL THERAPIST