Individual provider Active NPI

Salvatore Vassallo III, DO

  • Emergency Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1346826096
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS21061 Issued in FL
Practice address
1000 36TH St
Vero Beach, FL 32960-4862
Phone
(813) 916-2347
NPI assigned
Mar 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS21061 FL Primary

Addresses

Primary practice location

1000 36TH St
Vero Beach, FL 32960-4862

Mailing address

3713 Garrett Dr
Rockledge, FL 32955-4776
Phone (732) 779-0548

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240424003066 FL Practitioner - Emergency Medicine 5294136495 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Nova Southeastern College of Osteo Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gilford Sound Emergency Physicians LLCGroup PAC ID 3678833951, 32 clinicians
Emergency Physicians of Central Florida LLPGroup PAC ID 1850296567, 132 clinicians

Practice addresses (Care Compare)

1000 36TH St
Vero Beach, FL 32960-4862
Phone (954) 939-5000

9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (407) 351-8500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS21061FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gilford Sound Emergency Physicians LLC Emergency Medicine CurrentSince Mar 10, 2024 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Mar 28, 2025 Accepting new patients
Emergency Physicians of Central Florida LLP Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients

Locations

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1346826096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 GARRETT DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554776",
            "telephone_number": "732-779-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604862",
            "telephone_number": "813-916-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSALLO",
        "first_name": "SALVATORE",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS21061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.