Healthcare Provider Details
I. General information
NPI: 1164133542
Provider Name (Legal Business Name): TROPICAL MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/07/2022
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 N US HIGHWAY 1 STE 604B
FORT PIERCE FL
34950-3072
US
IV. Provider business mailing address
901 SW MARTIN DOWNS BLVD STE 302
PALM CITY FL
34990-2861
US
V. Phone/Fax
- Phone: 772-419-9123
- Fax: 772-419-9123
- Phone: 772-419-9123
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XS0117X |
| Taxonomy | Orthopaedic Surgery of the Spine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2081P2900X |
| Taxonomy | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
SLOBASKY
Title or Position: OWNER
Credential: DO
Phone: 772-419-9123