MEDICARE: ERIC S PALOSKY, DO PA

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	207Q00000X	Family Medicine Physician	OS0007466	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10D1021161	OTHER	FL	CLIA - LAB
2	46263	OTHER	FL	BCBS OF FLORIDA
3	S0007466	OTHER	FL	FL MEDICAL LICENSE - W/C
4	026582690	OTHER	FL	TRICARE INDIVIDUAL

General Provider Information

NPI Number	:	1376651554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERIC S PALOSKY, DO PA

Provider Business Mailing Address
First Line	:	4343 SUN N LAKE BLVD
Second Line	:	SUITE C
City	:	SEBRING
State	:	FL
Zip	:	33872-2162
Country	:	US
Telephone Number	:	863-385-1777
Fax Number	:	863-385-8668

Provider Business Practice Location Address
First Line	:	4343 SUN N LAKE BLVD
Second Line	:	SUITE C
City	:	SEBRING
State	:	FL
Zip	:	33872-2162
Country	:	US
Telephone Number	:	863-385-1777
Fax Number	:	863-385-8668

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ERIC SCOTT PALOSKY
Credential	:	DO
Telephone Number	:	863-385-1777

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	09/30/2010

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Directions to “ERIC S PALOSKY, DO PA ” Practice Location

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