Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 0038960 | FL |
NPI | 1538154398 |
---|---|
Provider Name | Dr. Jorge Antonio Sallent |
First Address | West Palm Beach, FL 33403-3598 |
Second Address | West Palm Beach, FL 33403-3598 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2005 |
Last Update Date | 06/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0038960 | LICENSE (01) | FL |
0038960 | ME (01) | FL |
065871500 | (05) | FL |
14293 | HEALTHEASE (01) | FL |
14293 | STAYWELL (01) | FL |
2013841 | AETNA HMO (01) | FL |
203191 | AVMED (01) | FL |
204946 | AMERIGROUP (01) | FL |
2516164 | AETNA (01) | FL |
28937 | SOUTHCARE (01) | FL |
3969385005 | CIGNA (01) | FL |
4251630 | AETNA PPO (01) | FL |
45055 | NEIGHBORHOOD HEALTH (01) | FL |
47453 | BLUE CROSS BLUE SHIELD (01) | FL |
AS1355191 | DEA # (01) | FL |
D55064 | (02) | FL |
P2268946 | OXFORD HEALTH (01) | FL |