Provider Demographics
NPI:1770559106
Name:SLOMOWITZ, STEWART ALLEN (MD)
Entity type:Individual
Prefix:
First Name:STEWART
Middle Name:ALLEN
Last Name:SLOMOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 817737
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33081-1737
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8201 W BROWARD BLVD
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2701
Practice Address - Country:US
Practice Address - Phone:954-473-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-25
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83779207L00000X
PAMD057350L207L00000X
TXM0572207L00000X
MDD0061557207L00000X
LAMD200699207L00000X
WV22522207L00000X
VT042-0011204207L00000X
AZ36094207L00000X
CT044948207L00000X
MO2007010578207L00000X
CO45513207L00000X
NV12403207L00000X
ARE-5351207L00000X
KY41215207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1013072Medicaid
WV3810006302Medicaid
WVSL4191961Medicaid
MDJ784-0001OtherBCBS
VT00069664OtherBCBS
FL09133OtherBCBS
FL09133UMedicare UPIN
VT1013072Medicaid
MD858ML996Medicare PIN
WV3810006302Medicaid
VTVN4139Medicare PIN
FL09133ZMedicare PIN
FL09133VMedicare PIN
FL09133WMedicare PIN
FLG24101Medicare UPIN