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Victor Manuel De La Rosa Salazar, P.A.

Physician Assistant in Sarasota, FL. Individual provider (NPI-1).

NPI number1164211819
StatusActive
Last updated in NPPESMay 8, 2026

Details

NPI
1164211819
Entity type
Individual (NPI-1)
Name
Victor Manuel De La Rosa Salazar
Credential
P.A.
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 30, 2025
Certification date
May 8, 2026
Last updated
May 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant3156PRYes
246ZC0007X Specialist/Technologist, Other, Surgical Assistant25-245FL
363AS0400X Physician Assistant, Surgical3156PR

Practice location

2144 Mcintosh Rd
Sarasota, FL 34232-3924

Phone 941-879-2590

Mailing address

2144 Mcintosh Rd
Sarasota, FL 34232-3924

Phone 941-879-2590

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