Michael Slobasky DO PA

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

MICHAEL SLOBASKY DO PA

Practice address

901 SW Martin Downs Blvd Ste 300
Palm City, FL 34990-2861

Phone

(800) 735-1178

Fax

(772) 223-6354

NPI assigned

Apr 8, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Slobasky, DO

Title

Ceo

Phone

(215) 869-8777

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Pain Network Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nilusha Tania Fernando, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lake Mary, FL
  • NPI 1194846394
  NPD (past)
• Allan K Vrable, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Plantation, FL
  • NPI 1184758872

  Multi-Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1780827683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SW MARTIN DOWNS BLVD STE 300",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902861",
            "telephone_number": "800-735-1178",
            "fax_number": "772-223-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SW MARTIN DOWNS BLVD STE 300",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902861",
            "telephone_number": "800-735-1178",
            "fax_number": "772-223-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SLOBASKY DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "SLOBASKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-869-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00A52",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Pain Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Pain Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Palm City, FL
• Providers in Palm City, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.