MEDICARE: SHOLEM MICHAEL PALEVSKY DO

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	OS14910	FL
2	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	OS14910	FL

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

General Provider Information

NPI Number	:	1477063618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHOLEM MICHAEL PALEVSKY DO

Provider Business Mailing Address
First Line	:	1800 N FEDERAL HWY STE 104
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-1011
Country	:	US
Telephone Number	:	954-782-0010
Fax Number	:	954-781-2139

Provider Business Practice Location Address
First Line	:	1800 N FEDERAL HWY STE 104
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-1011
Country	:	US
Telephone Number	:	954-782-0010
Fax Number	:	954-781-2139

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

Provider Enumeration Date	:	10/02/2017
Last Update Date	:	03/12/2024

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Directions to “ SHOLEM MICHAEL PALEVSKY DO” Practice Location

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