| Dr Kenneth Vernon Slack, MD | |
|
7727 Lake Underhill Rd, Orlando, FL 32822-8224 | |
| (407) 303-6413 | |
| Not Available |
| Full Name | Dr Kenneth Vernon Slack |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 7727 Lake Underhill Rd, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013169879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | TRN18079 (Florida) | Secondary |
| 208600000X | Surgery | 24792 (Nebraska) | Secondary |
| 207P00000X | Emergency Medicine | ME119973 (Florida) | Primary |
| Entity Name | Emergency Physicians Of Central Florida Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326033341 PECOS PAC ID: 1850296567 Enrollment ID: O20031205000109 |
| Entity Name | Florida Emergency Physicians Kang And Associates Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811983752 PECOS PAC ID: 0143113878 Enrollment ID: O20040205000687 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295442614 PECOS PAC ID: 6608056171 Enrollment ID: O20230131002198 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Vernon Slack, MD 7727 Lake Underhill Rd, Orlando, FL 32822-8224 Ph: (407) 303-6413 | Dr Kenneth Vernon Slack, MD 7727 Lake Underhill Rd, Orlando, FL 32822-8224 Ph: (407) 303-6413 |
Landon Lichtman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-303-1940 | |
Dr. Julian Andrew Trivino, D.O., M.S. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7727 Lake Underhill Rd, Orlando, FL 32822 Phone: 407-303-6413 | |
Ramon H Nunez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-303-5600 | |
Dr. Steve Wahel Hilwa, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 86 W Underwood St, Suite 200, Orlando, FL 32806 Phone: 407-237-6329 Fax: 407-649-3083 | |
Dr. Hunter Kane Steward, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 52 W Underwood St # Mp31, Orlando, FL 32806 Phone: 321-841-5111 | |
Lawrence Moskowitz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1414 S Orange Ave, Orlando, FL 32806 Phone: 407-841-5111 Fax: 800-536-8431 |