Most Relevant Information
Provider Data
| NPI Number: | 1003360645 |
| Provider Name: | JESUS MANUEL SALAS NOAIN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RG0100X |
| Specialty: | Internal Medicine |
| License Number: | ME165328 |
Most Important Dates
| Enumeration Date: | 08/11/2016 |
| Last Updated: | 05/20/2024 |
Provider Practice Location
40 GROOVER LOOP STE 200
ST AUGUSTINE
FL
320866569
Practice Location Phone/Fax
| Phone: | 9043987205 |
| Fax: | 9048239613 |
Provider Mailing Location
4800 BELFORT RD
JACKSONVILLE
FL
322566004
Provider Mailing Phone/Fax
| Phone: | 9043987205 |
| Fax: |
Suggested EMR
Gastroenterology EMR