Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | ME120130 | FL |
N | 207VX0201X | Gynecologic Oncologist | 214883 | NY |
Y | 207VX0201X | Gynecologic Oncologist | ME120130 | FL |
NPI | 1306885512 |
---|---|
Provider Name | Dr. Brian M Slomovitz |
First Address | Fort Lauderdale, FL 33309-3750 |
Second Address | Fort Lauderdale, FL 33316-2510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 08/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
214883 | STATE LICENSE (01) | NY |