Provider Demographics
NPI:1265918643
Name:SALHI, MBAREK (RN)
Entity type:Individual
Prefix:MR
First Name:MBAREK
Middle Name:
Last Name:SALHI
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6728 DUNCASTER ST
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-6653
Mailing Address - Country:US
Mailing Address - Phone:321-278-4364
Mailing Address - Fax:
Practice Address - Street 1:6728 DUNCASTER STREET
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-3478
Practice Address - Country:US
Practice Address - Phone:321-278-4364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9207321251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care