Provider Demographics
NPI:1174558753
Name:SALAMEH, JAMAL SALIBA (MD)
Entity type:Individual
Prefix:DR
First Name:JAMAL
Middle Name:SALIBA
Last Name:SALAMEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 57189
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32241-7189
Mailing Address - Country:US
Mailing Address - Phone:904-744-4448
Mailing Address - Fax:904-744-4048
Practice Address - Street 1:4123 UNIVERSITY BLVD S STE E
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4320
Practice Address - Country:US
Practice Address - Phone:904-744-7300
Practice Address - Fax:904-744-4048
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81937207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL58997Medicare ID - Type Unspecified