Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DN19356 | FL |
Y | 213EG0000X | General Practice | DN19356 | FL |
NPI | 1003193285 |
---|---|
Provider Name | Dr. Cecilia De Las Mercedes Salazar |
First Address | Fort Lauderdale, FL 33316-3649 |
Second Address | North Miami Beach, FL 33179-2499 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2011 |
Last Update Date | 15/11/2011 |