Provider Demographics
NPI:1679593594
Name:SALVATORI, ROBERT WALTER (DPM)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WALTER
Last Name:SALVATORI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:130 TAMIAMI TRL N STE 100
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-6231
Mailing Address - Country:US
Mailing Address - Phone:239-261-8900
Mailing Address - Fax:239-261-3679
Practice Address - Street 1:130 TAMIAMI TRL N STE 100
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6231
Practice Address - Country:US
Practice Address - Phone:239-261-8900
Practice Address - Fax:239-261-3679
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPO2276213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPO2276OtherSTATE LICENSE
FL65263Medicare ID - Type Unspecified
FLPO2276OtherSTATE LICENSE