| Lisa M Salt, PA | |
|
130 Health Park Blvd, Saint Augustine, FL 32086-5776 | |
| (904) 826-3469 | |
| (904) 808-4608 |
| Full Name | Lisa M Salt |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 130 Health Park Blvd, Saint Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427105774 | NPI | - | NPPES |
| P00440191 | Other | FL | PALMETTO GBA RAILROAD MED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9103852 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Salt, PA 130 Health Park Blvd, St Augustine, FL 32086-5776 Ph: (904) 826-3469 | Lisa M Salt, PA 130 Health Park Blvd, Saint Augustine, FL 32086-5776 Ph: (904) 826-3469 |
Laura Davida Brooks, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 682 Pullman Cir, Saint Augustine, FL 32084 Phone: 224-636-4794 | |
Douglas Senecal, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Health Park Blvd, Saint Augustine, FL 32086 Phone: 904-823-3401 Fax: 904-829-8649 | |
Brooks Michael Whalen, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 130 Health Park Blvd, Saint Augustine, FL 32086 Phone: 904-826-3469 Fax: 904-808-4608 | |
Lindsey Porubcan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 Health Park Blvd, Saint Augustine, FL 32086 Phone: 904-819-5155 Fax: 904-819-4906 | |
Brandon Braddock, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Health Park Blvd, Suite 4000, Saint Augustine, FL 32086 Phone: 904-824-8666 | |
Ms. Stephanie L Hicks, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 132 Goldenrod Dr, Saint Augustine, FL 32092 Phone: 815-342-4901 | |
Mr. Michael Stanley Jecen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 110 Health Park Blvd, Saint Augustine, FL 32086 Phone: 904-823-3401 Fax: 904-829-8649 |