Provider Demographics
NPI:1174718001
Name:PALOSKY, ERIC SCOTT (DO)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:SCOTT
Last Name:PALOSKY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4511 SUN N LAKE BLVD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33872-2169
Mailing Address - Country:US
Mailing Address - Phone:863-385-1777
Mailing Address - Fax:863-385-8668
Practice Address - Street 1:4511 SUN N LAKE BLVD
Practice Address - Street 2:SUITE 108
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33872-2169
Practice Address - Country:US
Practice Address - Phone:863-385-1777
Practice Address - Fax:863-385-8668
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0007466207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00071836OtherMEDICARE RAIL ROAD
FL10D1021161OtherCLIA
FL46263OtherBCBS
FL46263OtherBCBS
FLG-80486Medicare UPIN