Gabriel E Salloum MD PA

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

ME81572 Issued in FL

Legal business name

GABRIEL E SALLOUM MD PA

Practice address

2 NE 40TH St
Suite 203
Miami, FL 33137-3551

Phone

(305) 405-6910

Fax

(305) 405-6912

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Kelli Lysfjord

Title

Office Manager

Phone

(305) 405-6910

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gabriel Ellis Salloum, MD

  • Legal Medicine
  • Miami Beach, FL
  • NPI 1225094188
  Medicare reassignment

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1548306178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NE 40TH ST",
            "address_2": "SUITE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373551",
            "telephone_number": "305-405-6910",
            "fax_number": "305-405-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 NE 40TH ST",
            "address_2": "SUITE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373551",
            "telephone_number": "305-405-6910",
            "fax_number": "305-405-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL E SALLOUM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "LYSFJORD",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-405-6910"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME81572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gables Rehabilitation Services Inc
• Michelle Gabor
• Noah Jeremy Gabor
• Fidel Simon Gabote Garcia
• Gabriel a Vidal, DMD, PA
• Gabriel Medical Equipment,Inc
• Gabriel Novoa Jr MD PA (Sunset Health Care Providers)
• Holl Steeve Gabriel, RCSWI
• Nephthali Gabriel
• Gabriela Perez, D.O., P.a.

• Legal Medicine in Miami, FL
• Providers in Miami, FL by specialty
• Legal Medicine in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.