MEDICARE: DR. KEVIN MARK SLAWIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	J3225	TX
2	208800000X	Urology Physician	ME137855	FL

General Provider Information

NPI Number	:	1235162884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN MARK SLAWIN M.D.

Provider Business Mailing Address
First Line	:	9511 COLLINS AVE APT 1403
Second Line	:
City	:	SURFSIDE
State	:	FL
Zip	:	33154-2660
Country	:	US
Telephone Number	:	713-299-1776
Fax Number	:	305-675-3972

Provider Business Practice Location Address
First Line	:	9511 COLLINS AVE APT 1403
Second Line	:
City	:	SURFSIDE
State	:	FL
Zip	:	33154-2660
Country	:	US
Telephone Number	:	713-299-1776
Fax Number	:	305-675-3972

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	06/11/2020

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