Organization Name: | WILLIAM SALCEDO DPM PA |
NPI Number: | 1982873949 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANICE R SALCEDO (OFFICE MANAGER) |
Mailing Address: | 1331 S E Port St Lucie Blvd Suite 101 Port St Lucie |
State: | FL US |
Postal Code: | 34952 |
Phone Number: | 7723370014 |
Fax Number: | 7723980887 |
NPI Enumeration Date: | 02/25/2008 |
NPI Last Update Date: | 08/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | PO2253 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |