Doctor Name: | L YOMTOV SALAZAR |
NPI Number: | 1366445736 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME53469 |
Business Practice Address: | 9970 Central Park Blvd N Ste 101 Boca Raton, FL - 334282231 |
Business Phone Number: | 5614882700 |
Business Fax Number: | 5614883031 |
Mailing Address: | 5431 N University Dr, CORAL SPRINGS |
State: | FL |
Postal Code: | 330674639 |
Phone Number: | 9543442522 |
Fax Number: | 9543449189 |
NPI Enumeration Date: | 05/31/2005 |
NPI Last Update Date: | 10/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME53469 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |