Doctor Name: | VLATKO SALOPEK |
NPI Number: | 1861435695 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME84865 |
Business Practice Address: | 8359 Stringfellow Rd St James City, FL - 339562910 |
Business Phone Number: | 2393442393 |
Business Fax Number: | 2392839276 |
Mailing Address: | Po Box 1357, FORT MYERS |
State: | FL |
Postal Code: | 339021357 |
Phone Number: | 2392783600 |
Fax Number: | 2392783203 |
NPI Enumeration Date: | 06/13/2006 |
NPI Last Update Date: | 08/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME84865 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |