Provider Demographics
NPI:1679295216
Name:SALMON, ANELIZE (PA-C)
Entity type:Individual
Prefix:
First Name:ANELIZE
Middle Name:
Last Name:SALMON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 SW 3RD AVE APT 902
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-2351
Mailing Address - Country:US
Mailing Address - Phone:305-721-7097
Mailing Address - Fax:
Practice Address - Street 1:2701 SW 3RD AVE APT 902
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33129-2351
Practice Address - Country:US
Practice Address - Phone:305-721-7097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant