| William R Salazar Md Chartered | |
|
2400 Harbor Blvd Ste 1 Port Charlotte FL 33952-5052 | |
| (941) 764-8550 | |
| (941) 764-8338 |
| Full Name | William R Salazar Md Chartered |
|---|---|
| Speciality | Internal Medicine |
| Location | 2400 Harbor Blvd, Port Charlotte, Florida |
| Authorized Official Name and Position | William R Salazar (OWNER) |
| Authorized Official Contact | 9417648550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William R Salazar Md Chartered 2400 Harbor Blvd Ste 1 Port Charlotte FL 33952-5052 Ph: (941) 764-8550 | William R Salazar Md Chartered 2400 Harbor Blvd Ste 1 Port Charlotte FL 33952-5052 Ph: (941) 764-8550 |
| NPI Number | 1144455734 |
|---|---|
| Provider Enumeration Date | 05/26/2009 |
| Last Update Date | 07/20/2009 |
| Medicare PECOS PAC ID | 7113079583 |
|---|---|
| Medicare Enrollment ID | O20090715000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144455734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME75404 (Florida) | Primary |
| Provider Name | William R Salazar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538153465 PECOS PAC ID: 7315908886 Enrollment ID: I20041019001115 |
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