William Salcedo DPM PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PO2253 Issued in FL

Legal business name

WILLIAM SALCEDO DPM PA

Practice address

1331 S E Port St Lucie Blvd
Suite 101
Port St Lucie, FL 34952

Phone

(772) 337-0014

Fax

(772) 398-0887

NPI assigned

Feb 25, 2008

Last updated

Aug 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Janice R Salcedo, RN, MBA

Title

Office Manager

Phone

(772) 631-3326

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1982873949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 NW FEDERAL HWY STE 245",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349949315",
            "telephone_number": "772-631-3326",
            "fax_number": "772-283-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 S E PORT ST LUCIE BLVD",
            "address_2": "SUITE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34952",
            "telephone_number": "772-337-0014",
            "fax_number": "772-398-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM SALCEDO DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "SALCEDO",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-631-3326",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PO2253",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO2253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Darnell Wideman II
• Alex Wilburn, LPTA
• Brandon Matthew Wildermuth, PHARMD
• Stacey Wilfork, RN
• Taylor Wilhelm, DPT
• Aisha J Williams
• Ashley Annette Williams, RDN/LDN
• Cherryl Williams, AP
• Jason Paul Williams, DO
• Katherine Suzzanne Williams

• Durable Medical Equipment & Medical Supplies in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.