Organization
PALADIN FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN SLABY MD (PRESIDENT)
(352) 726-4499
Entity
Organization
Contact information
Practice address
330 S LINE AVE, INVERNESS, FL 34452-4606
(352) 726-4499
(352) 726-2808
Mailing address
330 S LINE AVE, INVERNESS, FL 34452-4606
(352) 726-4499
(352) 726-2808
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME-0074114
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274066400
—
FL
Enumeration date
12/27/2007
Last updated
01/05/2010
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