MEDICARE: MICHELLE A. FOX-SLESINGER 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	224523-1	NY

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	810V71	OTHER	NY	BLUECROSS BLUESHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164409389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE A. FOX-SLESINGER M.D.

Provider Business Mailing Address
First Line	:	9821 PALMA VISTA WAY
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-3528
Country	:	US
Telephone Number	:	866-898-7142
Fax Number	:	770-237-1723

Provider Business Practice Location Address
First Line	:	4890 N STATE ROAD 7
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33073-3303
Country	:	US
Telephone Number	:	954-480-9111
Fax Number	:

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

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	01/04/2017

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