Provider Demographics
| NPI: | 1811200462 |
|---|---|
| Name: | ALL PARTNERS NETWORK PLLC |
| Entity type: | Organization |
| Organization Name: | ALL PARTNERS NETWORK PLLC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | MICHAEL |
| Authorized Official - Middle Name: | SEAN |
| Authorized Official - Last Name: | SLOBASKY |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | DO |
| Authorized Official - Phone: | 800-735-1178 |
| Mailing Address - Street 1: | 4243 NW FEDERAL HWY |
| Mailing Address - Street 2: | |
| Mailing Address - City: | JENSEN BEACH |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 34957-3600 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 800-735-1178 |
| Mailing Address - Fax: | 772-223-6354 |
| Practice Address - Street 1: | 4243 NW FEDERAL HWY |
| Practice Address - Street 2: | |
| Practice Address - City: | JENSEN BEACH |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 34957-3600 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 800-735-1178 |
| Practice Address - Fax: | 772-223-6354 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2010-07-23 |
| Last Update Date: | 2024-06-26 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| 363L00000X, 363LP0808X, 208100000X, 2081P0004X, 208VP0014X, 291U00000X, 363A00000X, 363AS0400X, 2081P2900X, 363LP0808X | ||
| FL | 7328070001 | 332B00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 2081P2900X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Pain Medicine | Group - Multi-Specialty |
| No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty | |
| No | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health | Group - Multi-Specialty |
| No | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Multi-Specialty | |
| No | 2081P0004X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Spinal Cord Injury Medicine | Group - Multi-Specialty |
| No | 208VP0014X | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine | Group - Multi-Specialty |
| No | 291U00000X | Laboratories | Clinical Medical Laboratory | Group - Multi-Specialty | |
| No | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | Group - Multi-Specialty | |
| No | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Group - Multi-Specialty | |
| No | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| 000W5 | Other | BCBS | |
| FL | 024130700 | Medicaid | |
| FL | 617938400 | Other | DOL |
| FL | DW1163 | Other | RAILROAD |
| FL | OOOW5 | Other | BCBS |
| FL | OOOW5 | Other | BCBS |
