Azifah Salla, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5426 Issued in FL

Practice address

11253 Pines Blvd
Pembroke Pines, FL 33026-4118

Phone

(954) 437-2186

NPI assigned

Jul 18, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1033632369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NW 86TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11253 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264118",
            "telephone_number": "954-437-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLA",
        "first_name": "AZIFAH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Salgado Reyes
• Edward S Salgado, DPT
• Karina Salgado, LMHC
• Maray Caridad Salina, APRN
• Arif Salla
• Christine Hope Barrett Salmon, DPT
• Inez Jean Salmon, APRN
• Anne Marie Salsbury Company, PA-C
• Helen Margaret Salsbury, M.D,
• Lenecher L Salters

• Optometrist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.