Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | ME102672 | FL |
Y | 208600000X | Surgeon | ME102672 | FL |
N | 2082S0105X | Plastic Hand Surgeon | ME102672 | FL |
N | 208200000X | Surgeon | ME102672 | FL |
N | 208600000X | Surgeon | ME102672 | FL |
N | 2086S0105X | Surgery of the Hand | ME102672 | FL |
N | 2086S0122X | Plastic and Reconstructive Surgery | ME102672 | FL |
NPI | 1821209016 |
---|---|
Provider Name | Moises Salama |
First Address | Tampa, FL 33634-7329 |
Second Address | Aventura, FL 33180-1204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2007 |
Last Update Date | 14/07/2010 |