Detweiler, Michelle D

Detweiler, Michelle D is an individual health care provider with primary practice located at 8280 Nw 27 St Suite 505, Doral FL 33122-1905. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Detweiler, Michelle D can be contacted via phone (305) 673-0033.

Contact Information

Primary practice address
8280 Nw 27 St Suite 505 Doral FL 33122-1905
Phone: (305) 673-0033
Fax: (305) 673-9259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO2403 Florida
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO2403 Florida

Profile Details

NPI number 1447343033
LBN Legal business name Detweiler, Michelle D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447343033 NPPES
Florida MEDICAID 390194700

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