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Individual

ROBERT SLACKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
736 CENTRAL AVE, SARASOTA, FL 34236-4042
(540) 985-4099
Mailing address
736 CENTRAL AVE, SARASOTA, FL 34236-4042

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101-053475
VA
207VE0102X
Reproductive Endocrinology Physician
Primary
0101-053475
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1609842954
VA
05
6206816
VA
Enumeration date
02/27/2006
Last updated
11/18/2024
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