Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME 115432 | FL |
N | 111NI0900X | Internist | ME 115432 | FL |
Y | 207RH0003X | Hematology & Oncology | ME 115432 | FL |
NPI | 1063733343 |
---|---|
Provider Name | David A Sallman |
First Address | Tampa, FL 33612-9416 |
Second Address | Tampa, FL 33612-9416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2010 |
Last Update Date | 21/06/2016 |