Individual ProviderJonathan SalterInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1400 NW 12th Ave, Miami, FL 33136-1003(305) 243-1960PECOS EnrollmentBased on the most recent information from CMS, provider Jonathan Salter is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1700318706Provider TypeIndividualFull NameSalter, JonathanCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/29/2017Last Updated6/1/2021Contact InformationPractice LocationPractice Address1400 NW 12th Ave, Miami, FL 33136-1003Phone(305) 243-1960Fax(305) 243-5546Mailing LocationMailing Address1400 NW 12th Ave, Miami, FL 33136-1003Phone(305) 243-1960Fax(305) 243-5546Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME146066FloridaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer