Provider Demographics
NPI:1588693477
Name:SALVANT, ALIX (MD)
Entity type:Individual
Prefix:MR
First Name:ALIX
Middle Name:
Last Name:SALVANT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8700 SW 88TH ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2206
Mailing Address - Country:US
Mailing Address - Phone:305-595-5350
Mailing Address - Fax:305-595-3445
Practice Address - Street 1:8700 N KENDALL DR
Practice Address - Street 2:SUITE 204
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2206
Practice Address - Country:US
Practice Address - Phone:305-595-5350
Practice Address - Fax:305-595-3445
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0052140207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL043265201Medicaid
FL043265201Medicaid
FL08182VMedicare PIN
E22429Medicare UPIN