Provider Demographics
NPI:1902898919
Name:SALTZMAN, MARK BRUCE (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:BRUCE
Last Name:SALTZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1000 NW 9TH CT
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2268
Mailing Address - Country:US
Mailing Address - Phone:561-395-4600
Mailing Address - Fax:561-395-6903
Practice Address - Street 1:1000 NW 9TH CT
Practice Address - Street 2:SUITE 201
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2268
Practice Address - Country:US
Practice Address - Phone:561-395-4600
Practice Address - Fax:561-395-6903
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2013-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 0059324207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL056008100Medicaid
FL14234Medicare ID - Type Unspecified
FL056008100Medicaid