Provider Demographics
NPI:1598572513
Name:SALMA RAWOF MD LLC
Entity type:Organization
Organization Name:SALMA RAWOF MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SALMA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAWOF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-577-2562
Mailing Address - Street 1:9304 MUSTARD LEAF DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-7082
Mailing Address - Country:US
Mailing Address - Phone:352-577-2562
Mailing Address - Fax:
Practice Address - Street 1:9161 NARCOOSSEE RD # B209
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-5764
Practice Address - Country:US
Practice Address - Phone:321-222-6261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty