| Eric S Palosky, Do Pa | |
|
4343 Sun N Lake Blvd Suite C Sebring FL 33872-2162 | |
| (863) 385-1777 | |
| (863) 385-8668 |
| Full Name | Eric S Palosky, Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4343 Sun N Lake Blvd, Sebring, Florida |
| Authorized Official Name and Position | Eric Scott Palosky (PRESIDENT) |
| Authorized Official Contact | 8633851777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric S Palosky, Do Pa 4343 Sun N Lake Blvd Suite C Sebring FL 33872-2162 Ph: (863) 385-1777 | Eric S Palosky, Do Pa 4343 Sun N Lake Blvd Suite C Sebring FL 33872-2162 Ph: (863) 385-1777 |
| NPI Number | 1376651554 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 09/30/2010 |
| Medicare PECOS PAC ID | 6204720691 |
|---|---|
| Medicare Enrollment ID | O20040209000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376651554 | NPI | - | NPPES |
| 10D1021161 | Other | FL | CLIA - LAB |
| 46263 | Other | FL | BCBS OF FLORIDA |
| S0007466 | Other | FL | FL MEDICAL LICENSE - W/C |
| 026582690 | Other | FL | TRICARE INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS0007466 (Florida) | Primary |
| Provider Name | Eric S Palosky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174718001 PECOS PAC ID: 8527951672 Enrollment ID: I20040204000104 |
| Provider Name | Sharon L Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376605154 PECOS PAC ID: 1759349491 Enrollment ID: I20041228000346 |
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