Provider Demographics
NPI:1811979636
Name:SLOMKA, MICHAEL DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DAVID
Last Name:SLOMKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7993 10TH AVE S0
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33707
Mailing Address - Country:US
Mailing Address - Phone:727-458-6703
Mailing Address - Fax:727-344-3048
Practice Address - Street 1:6500 66TH ST
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-5030
Practice Address - Country:US
Practice Address - Phone:727-347-1286
Practice Address - Fax:727-345-3084
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2020-03-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME21558207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL044568100Medicaid
FL255859OtherAVMED
FL4511661OtherAETNA
200009549OtherRAILROAD MEDICARE
FL52626OtherBLUE CROSS BLUE SHIELD
FL52626OtherBLUE CROSS BLUE SHIELD
FLD58356Medicare UPIN