Provider Demographics
NPI:1215946785
Name:PALETSKY, STEVEN H (MD)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:H
Last Name:PALETSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:MANAGED CARE DEPARTMENT
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:7335 GLADIOLUS DRIVE
Practice Address - Street 2:
Practice Address - City:FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-5122
Practice Address - Country:US
Practice Address - Phone:239-689-6677
Practice Address - Fax:239-939-7511
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME37399208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL36279OtherBCBS OF FL PROVIDER #
FL4094228OtherAETNA PROVIDER #
FLP00391840OtherRAILROAD MEDICARE
FL0161329OtherCIGNA PROVIDER #
FL15985OtherWELLCARE
FL4094228OtherAETNA PROVIDER #
FL36279YMedicare PIN