Provider Demographics
NPI:1245915669
Name:MINOLS LLC
Entity type:Organization
Organization Name:MINOLS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:D
Authorized Official - Last Name:SLONIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DRPH
Authorized Official - Phone:973-803-7229
Mailing Address - Street 1:12425 NW 62ND CT
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-1922
Mailing Address - Country:US
Mailing Address - Phone:973-803-7229
Mailing Address - Fax:
Practice Address - Street 1:12425 NW 62ND CT
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-1922
Practice Address - Country:US
Practice Address - Phone:973-803-7229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty