MEDICARE: DR. ROBERTA R SLONIM 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	207RR0500X	Rheumatology Physician	ME10142	FL

General Provider Information

NPI Number	:	1548241524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERTA R SLONIM MD

Provider Business Mailing Address
First Line	:	1581 BRICKELL AVE
Second Line	:	STE 1801
City	:	MIAMI
State	:	FL
Zip	:	33129-1240
Country	:	US
Telephone Number	:	305-858-8156
Fax Number	:

Provider Business Practice Location Address
First Line	:	1533 SUNSET DR
Second Line	:	STE 200
City	:	CORAL GABLES
State	:	FL
Zip	:	33143-5700
Country	:	US
Telephone Number	:	305-740-7887
Fax Number	:

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

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	07/08/2007

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