Provider Demographics
NPI:1487751632
Name:SALINAS, JESS D JR (MD)
Entity type:Individual
Prefix:DR
First Name:JESS
Middle Name:D
Last Name:SALINAS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JESS
Other - Middle Name:D
Other - Last Name:SALINAS
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5365 W ATLANTIC AVE
Mailing Address - Street 2:SUITE 504
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8172
Mailing Address - Country:US
Mailing Address - Phone:561-241-9300
Mailing Address - Fax:561-241-9339
Practice Address - Street 1:2692 W LAKE MARY BLVD
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3535
Practice Address - Country:US
Practice Address - Phone:407-936-2070
Practice Address - Fax:407-936-2071
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96290174400000X, 208100000X, 2081P2900X, 208VP0000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No174400000XOther Service ProvidersSpecialist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME 96290OtherLICENSE
8393OtherBOARD CERTIFIED IN PM &R
FLME 96290OtherLICENSE
FLI43823Medicare UPIN