Organization Active NPI

Dale G Salatich MD PA

  • Specialist
  • Orlando, FL
National Provider Identifier
1245437540
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0053091 Issued in FL
Legal business name
DALE G SALATICH MD PA
Practice address
745 N Magnolia Ave
201
Orlando, FL 32803-3835
Phone
(407) 872-3114
Fax
(407) 872-3118
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dale Graham Salatich, MD
Title
Owner
Phone
(407) 872-3114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0053091 FL Primary

Addresses

Primary practice location

745 N Magnolia Ave
201
Orlando, FL 32803-3835

Mailing address

745 N Magnolia Ave
201
Orlando, FL 32803-3835
Phone (407) 872-3114

National Provider Directory

National Provider Directory

Locations

745 N Magnolia Ave
Ste 201
Orlando, FL 32803
Phone (407) 872-3114

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245437540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 N MAGNOLIA AVE",
            "address_2": "201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033835",
            "telephone_number": "407-872-3114",
            "fax_number": "407-872-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 N MAGNOLIA AVE",
            "address_2": "201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033835",
            "telephone_number": "407-872-3114",
            "fax_number": "407-872-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE G SALATICH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALATICH",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-872-3114",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0053091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.