MEDICARE: DR. MICHAEL SEAN SLOBASKY D.O.

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	208100000X	Physical Medicine & Rehabilitation Physician	OS10065	FL
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	OS10065	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	78291	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649304056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL SEAN SLOBASKY D.O.

Provider Business Mailing Address
First Line	:	600 N US HIGHWAY 1 STE 604B
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-3072
Country	:	US
Telephone Number	:	772-419-9123
Fax Number	:	772-419-9123

Provider Business Practice Location Address
First Line	:	600 N US HIGHWAY 1 STE 604B
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-3072
Country	:	US
Telephone Number	:	772-419-9123
Fax Number	:	772-419-9123

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

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	04/03/2025

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Directions to “ DR. MICHAEL SEAN SLOBASKY D.O.” Practice Location

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