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Organization

ERIC S PALOSKY, DO PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC SCOTT PALOSKY DO (PRESIDENT)
(863) 385-1777
Entity
Organization

Contact information

Practice address
4343 SUN N LAKE BLVD, SUITE C, SEBRING, FL 33872-2162
(863) 385-1777
(863) 385-8668
Mailing address
4343 SUN N LAKE BLVD, SUITE C, SEBRING, FL 33872-2162
(863) 385-1777
(863) 385-8668

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0007466
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
026582690
TRICARE INDIVIDUAL
FL
01
10D1021161
CLIA - LAB
FL
01
46263
BCBS OF FLORIDA
FL
01
S0007466
FL MEDICAL LICENSE - W/C
FL
Enumeration date
08/28/2006
Last updated
09/30/2010
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