Paladin Family Practice PA

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

ME-0074114 Issued in FL

Legal business name

PALADIN FAMILY PRACTICE PA

Practice address

330 S Line Ave
Inverness, FL 34452-4606

Phone

(352) 726-4499

Fax

(352) 726-2808

NPI assigned

Dec 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian Slaby, MDNPI 1871653600

Title

President

Phone

(352) 726-4499

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Brian Anthony Slaby, MD

  • Sports Medicine (Family Medicine) Physician
  • Inverness, FL
  • NPI 1871653600
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1922282953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S LINE AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524606",
            "telephone_number": "352-726-4499",
            "fax_number": "352-726-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S LINE AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524606",
            "telephone_number": "352-726-4499",
            "fax_number": "352-726-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALADIN FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "SLABY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-726-4499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME-0074114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274066400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raphael A Pabon
• Padala Family Practice, PLLC
• Ashley Barbara Pado
• Ralph Paduano, L.M.T.
• Victor M. Pagan, PA-C
• Ana M Palmer, PTA
• Chirayu Pandya, M.B.B.S.
• Angela Kim Park, APRN
• Mari Parker, NP
• Parmanand Gurnani, M.D., P.a.

• Sports Medicine (Family Medicine) Physician in Inverness, FL
• Providers in Inverness, FL by specialty
• Sports Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.