Healthcare Provider Details

I. General information

NPI: 1780827683
Provider Name (Legal Business Name): MICHAEL SLOBASKY DO PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2009
Last Update Date: 11/09/2022
Certification Date: 11/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 SW MARTIN DOWNS BLVD STE 300
PALM CITY FL
34990-2861
US

IV. Provider business mailing address

901 SW MARTIN DOWNS BLVD STE 300
PALM CITY FL
34990-2861
US

V. Phone/Fax

Practice location:
  • Phone: 800-735-1178
  • Fax: 772-223-6354
Mailing address:
  • Phone: 800-735-1178
  • Fax: 772-223-6354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL SLOBASKY
Title or Position: CEO
Credential: DO
Phone: 215-869-8777