Individual
DR. MICHAEL V. JABLONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 PLATINUM PT, LAKE MARY, FL 32746-4871
(407) 206-4500
(407) 643-2802
Mailing address
701 PLATINUM PT, LAKE MARY, FL 32746-4871
(407) 206-4500
(407) 643-2802
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME0072870
FL
207X00000X
Orthopaedic Surgery Physician
Primary
ME72870
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
ME0072870
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME0072870
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01917
BC/BS
FL
01
—
200042691
RAILROAD
FL
05
—
265718000
—
FL
Enumeration date
07/14/2005
Last updated
11/04/2020
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