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DR. MICHAEL V. JABLONSKI M.D.
Sports Medicine >> Orthopaedic Surgery >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1003815812
Individual Registrant:DR. MICHAEL V. JABLONSKI M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
701 PLATINUM PT LAKE MARY, FL 32746-4871 US
Tel: 407-206-4500 Fax: 407-643-2802
Tel: 407-206-4500 Fax: 407-643-2802
Contact information for business:
701 PLATINUM PT LAKE MARY, FL 32746-4871 US
Tel: 407-206-4500 Fax: 407-643-2802
Tel: 407-206-4500 Fax: 407-643-2802
Registration Information:
NPI: 1003815812
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207XX0005X | Allopathic & Osteopathic Physicians Orthopaedic Surgery Sports Medicine | FL | ME0072870 |
| Y | 207X00000X | Allopathic & Osteopathic Physicians Orthopaedic Surgery | FL | ME72870 |
| N | 207X00000X | Allopathic & Osteopathic Physicians Orthopaedic Surgery | FL | ME0072870 |
| N | 207XS0114X | Allopathic & Osteopathic Physicians Orthopaedic Surgery | FL | ME0072870 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BC/BS | 01917 | FL | 01 |
| 265718000 | FL | 05 | |
| RAILROAD | 200042691 | FL | 01 |
