Slavens, Michael Tedford
Slavens, Michael Tedford is an individual health care provider with primary practice located at 3801 S Kanner Hwy Ste 200 , Stuart FL 34994-4801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Slavens, Michael Tedford can be contacted via phone (772) 219-4026.Contact Information
Primary practice address
3801 S Kanner Hwy Ste 200
Stuart FL 34994-4801
Phone: (772) 219-4026
Fax: (772) 283-4919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME93774 | Florida |
Profile Details
| NPI number | 1740245208 |
|---|---|
| LBN Legal business name | Slavens, Michael Tedford |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Oct 13th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740245208 | NPPES |
| Florida | Other | 28685 | BLUE SHIELD OF FL PROV # |
| Florida | MEDICAID | 273640300 | BLUE SHIELD OF FL PROV # |
Popular Providers
-
Vopal, James J
801 Se Osceola St , Stuart FL 34994-2431 -
Kappus, Mojdeh Sheila
3801 S Kanner Hwy Ste 200 , Stuart FL 34994-4801 -
Wengler, Wallace Edward
509 Se Riverside Dr Ste 200 , Stuart FL 34994-2579 -
Haas Md, Thomas Frank
166 Se Saint Lucie Blvd Apt 203, Stuart FL 34996-4769 -
Sanderson, Denise
2220 Se Ocean Blvd Ste 203 , Stuart FL 34996-3301 -
Wengler, Craig Adam
509 Se Riverside Dr Ste 200 , Stuart FL 34994-2579 -
Serrot, Federico Jose
3801 S Kanner Hwy Ste 200 , Stuart FL 34994-4801 -
Teed, Richard Russell
509 Se Riverside Dr Ste 305, Stuart FL 34994-2579