Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | ME70901 | FL |
NPI | 1598895252 |
---|---|
Provider Name | Georges N Saliba |
First Address | Miami, FL 33175-6867 |
Second Address | Miami, FL 33175-3530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 11/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
250559200 | (05) | FL |