Provider Demographics
NPI:1891700522
Name:SLONIMSKI, MARC (MD)
Entity type:Individual
Prefix:
First Name:MARC
Middle Name:
Last Name:SLONIMSKI
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 1:2051 45TH ST
Mailing Address - Street 2:SUITE108
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2027
Mailing Address - Country:US
Mailing Address - Phone:561-845-7432
Mailing Address - Fax:561-845-9750
Practice Address - Street 1:2051 45TH ST
Practice Address - Street 2:SUITE108
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2027
Practice Address - Country:US
Practice Address - Phone:561-845-7432
Practice Address - Fax:561-845-9750
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME949302081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD9132Medicaid
H98185Medicare UPIN
AK160421Medicare ID - Type Unspecified