Individual
KEVIN J SLAGOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2501 N ORANGE AVE STE 540, ORLANDO, FL 32804-4674
(407) 303-3692
(407) 303-3634
Mailing address
2501 N ORANGE AVE STE 540, ORLANDO, FL 32804-4674
(407) 303-3692
(407) 303-3634
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9112542
FL
363AM0700X
Medical Physician Assistant
Primary
PA9112542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104967100
—
FL
Enumeration date
08/28/2019
Last updated
05/27/2025
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