MEDICARE: JOHN SLISH 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	207P00000X	Emergency Medicine Physician	MD.201559	LA
2	207P00000X	Emergency Medicine Physician	98008	GA
3	207P00000X	Emergency Medicine Physician	ME101690	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578774402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN SLISH M.D.

Provider Business Mailing Address
First Line	:	1329 SW 16TH ST # 4270
Second Line	:	DEPARTMENT OF EMERGENCY MEDICAL SERVICES
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-1128
Country	:	US
Telephone Number	:	352-265-5911
Fax Number	:

Provider Business Practice Location Address
First Line	:	1329 SW 16TH ST # 4270
Second Line	:	DEPARTMENT OF EMERGENCY MEDICAL SERVICES
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-1128
Country	:	US
Telephone Number	:	352-265-5911
Fax Number	:

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

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	07/11/2025

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Directions to “ JOHN SLISH M.D.” Practice Location

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