Salem Derdock

NPI 1124986534 · on the registry since 2026

Practice

Address: 12276 San Jose Blvd Ste 508
Jacksonville, FL 32223
Phone: (904) 886-3228
Fax: (904) 485-8876
Organisation at this address: Wellhealth Inc
Glenn Knox Md Psc
Krm Resources Llc
Dr. Rosann W. Faull Llc
Sheanas Care Support Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 526

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida