John Robert Salassa in Jacksonville - Otolaryngology
John Robert Salassa - NPI 1861482614
John Robert Salassa is a Otolaryngology in Jacksonville, Florida. John Robert Salassa practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for John Robert Salassa is 1861482614. The last update date is 2007-07-08.
John Robert Salassa's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for John Robert Salassa is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Robert Salassa |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1861482614 |
|---|---|
| Provider Enumeration Date | 2005-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | ME49600 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2323 | FL | BLUECROSS/BLUESHIELD |
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What is the unique 10-digit identifier code issued to John Robert Salassa by the Centers for Medicare & Medicaid Services?
The John Robert Salassa has been assigned the NPI (National Provider Identifier) 1861482614 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the John Robert Salassa located?
The John Robert Salassa is located at 4500 San Pablo Rd S, Jacksonville, FL 322241865.
What is John Robert Salassa's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Robert Salassa's area of specialization is Otolaryngology, and the corresponding taxonomy code that categorizes this field of practice is 207Y00000X.
On what date did the John Robert Salassa receive its 1861482614 assignment from the Centers for Medicare & Medicaid Services?
The John Robert Salassa was assigned its 1861482614 by the Centers for Medicare & Medicaid Services on 2005-10-24.
As of what date was the information regarding John Robert Salassa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Robert Salassa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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