Active NPI
Edward Salib, D.O.
- Family Medicine Physician
- Palm Harbor, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- UO 3009
- Practice address
- 2626 Tampa Rd
Ste 101
Palm Harbor, FL 34684-3110 - Phone
- (727) 754-1984
- Fax
- (727) 754-2868
- NPI assigned
- Oct 31, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | UO 3009 | FL | Primary |
Addresses
Primary practice location
2626 Tampa Rd
Ste 101
Palm Harbor, FL 34684-3110
Mailing address
1800 SE Tiffany Ave
Port St Lucie, FL 34952-7521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UO 3009 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crestview Hospital Company, LLC | Current | Accepting new patients | |
| VMD Primary Providers Central Florida PLLC | Family Medicine | Current | Accepting new patients |
| Premier Inpatient Partners LLC | Current | Accepting new patients | |
| Crestview Hospital Company LLC | Family Medicine | Current | Accepting new patients |
| Dwic of Tampa Bay, Inc | Past | Accepting new patients | |
| VMD Primary Providers Central Florida PLLC | Family Medicine | Past | Accepting new patients |
| Heathrow Internal Medicine LLC | Family Medicine | Past | Accepting new patients |
Locations
4404 S Highway 27
Clermont, FL 34711
151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725
3550 Fruitville Rd
Sarasota, FL 34237
Phone (941) 955-4282
4650 Westway Park Blvd
Ste 206
Houston, TX 77041
Phone (346) 980-2725
Interoperability endpoints
- https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
- Medicare Defined Swing Bed Hospital Unit
- Crestview, FL
- NPI 1457864357
-
- Urgent Care Clinic/Center
- Hudson, FL
- NPI 1598132490
-
- Family Medicine Physician
- Lake Mary, FL
- NPI 1033387865
-
- Family Medicine Physician
- Clermont, FL
- NPI 1780342618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1073867941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 SE TIFFANY AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 TAMPA RD",
"address_2": "STE 101",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843110",
"telephone_number": "727-754-1984",
"fax_number": "727-754-2868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALIB",
"first_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-31",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "UO 3009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.