Basic Information
Provider Information
NPI: 1326612219
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALIMI
FirstName: SOHEIL
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1431 SW 1ST AVE
Address2:  
City: OCALA
State: FL
PostalCode: 344716500
CountryCode: US
TelephoneNumber: 3524011000
FaxNumber:  
Practice Location
Address1: 1511 SW 1ST AVE
Address2:  
City: OCALA
State: FL
PostalCode: 344716505
CountryCode: US
TelephoneNumber: 3526291378
FaxNumber: 3526291406
Other Information
ProviderEnumerationDate: 05/17/2021
LastUpdateDate: 06/25/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XAPRN11012654FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LF0000X11012654FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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