Provider Demographics
NPI:1861442527
Name:SALTZ, ROBIN F (DO)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:F
Last Name:SALTZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:POMERANZ
Other - Last Name:SALTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 402808
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-0808
Mailing Address - Country:US
Mailing Address - Phone:305-695-0644
Mailing Address - Fax:305-672-9971
Practice Address - Street 1:20803 BISCAYNE BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1429
Practice Address - Country:US
Practice Address - Phone:305-931-4404
Practice Address - Fax:305-466-0807
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 4924207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD65846Medicare UPIN
FL82827XMedicare ID - Type Unspecified