Healthcare Provider Details

I. General information

NPI: 1386799039
Provider Name (Legal Business Name): TODD LOUIS SLESINGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20900 BISCAYNE BLVD
AVENTURA FL
33180-1407
US

IV. Provider business mailing address

9821 PALMA VISTA WAY
BOCA RATON FL
33428-3528
US

V. Phone/Fax

Practice location:
  • Phone: 516-356-2291
  • Fax:
Mailing address:
  • Phone: 163-562-2915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number220145
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License NumberME123769
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberME123769
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME123769
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: