MEDICARE: HERBERT RICHARD SLAVIN MD

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	207R00000X	Internal Medicine Physician	ME00036889	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	93955	OTHER	FL	BCBS
2	110119829	OTHER	FL	RAILROAD MC

General Provider Information

NPI Number	:	1528018512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HERBERT RICHARD SLAVIN MD

Provider Business Mailing Address
First Line	:	7200 W COMMERCIAL BLVD STE 210
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-2148
Country	:	US
Telephone Number	:	954-748-4991
Fax Number	:	954-748-5022

Provider Business Practice Location Address
First Line	:	7200 W COMMERCIAL BLVD
Second Line	:	STE 210
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-2148
Country	:	US
Telephone Number	:	954-748-4991
Fax Number	:	954-748-5022

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	01/27/2026

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