Provider Demographics
NPI:1912130246
Name:SALMON, MERLYN SONIA (ARNP)
Entity Type:Individual
Prefix:
First Name:MERLYN
Middle Name:SONIA
Last Name:SALMON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 W GORE ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1008
Mailing Address - Country:US
Mailing Address - Phone:407-859-2882
Mailing Address - Fax:407-859-3278
Practice Address - Street 1:207 W GORE ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1008
Practice Address - Country:US
Practice Address - Phone:407-859-2882
Practice Address - Fax:407-859-3278
Is Sole Proprietor?:No
Enumeration Date:2009-09-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN2674402363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108730600Medicaid
FLAPRN2674402OtherSTATE LICENSE
FLMS4802066OtherDEA