Individual provider Active NPI

Francisco J Perez Salgado, M.D.

  • General Practice Physician
  • Lakeland, FL
National Provider Identifier
1457746299
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME156216 Issued in FL
Practice address
1045 E County Road 540a
Lakeland, FL 33813-3735
Phone
(863) 940-9990
Fax
(863) 644-3171
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME156216 FL Primary

Addresses

Primary practice location

1045 E County Road 540a
Lakeland, FL 33813-3735

Mailing address

1045 E County Road 540a
Lakeland, FL 33813-3735
Phone (863) 940-3171

Other practice location 1

2669 Forest Hill Blvd Ste 100
West Palm Beach, FL 33406-5966
Phone (561) 467-6560

Other identifiers 1

IdentifierTypeStateIssuer
108691400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190823000166 PR Practitioner - General Practice 6901110527 Reassigns benefits to 1 organization
I20201221001991 FL Practitioner - General Practice 6901110527 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME156216FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Internal Medicine Care, PA General Practice CurrentSince Dec 17, 2022 Accepting new patients
Bella Vista Hospital Inc CurrentSince Jun 11, 2020 Accepting new patients
Bella Vista Hospital, Inc CurrentSince Jun 11, 2020 Accepting new patients

Locations

5425 S Florida Ave
Lakeland, FL 33813
Phone (863) 644-3585

1045 State Road 540A
Lakeland, FL 33813
Phone (863) 607-9600

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.

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1457746299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 E COUNTY ROAD 540A",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133735",
            "telephone_number": "863-940-3171",
            "fax_number": "863-644-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 E COUNTY ROAD 540A",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133735",
            "telephone_number": "863-940-9990",
            "fax_number": "863-644-3171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2669 Forest Hill Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334065966",
            "country_code": "US",
            "telephone_number": "561-467-6560",
            "fax_number": "888-720-4595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ SALGADO",
        "first_name": "FRANCISCO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME156216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108691400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.