Dicarlo, Michelle Margaret

Dicarlo, Michelle Margaret is an individual health care provider with primary practice located at 1700 Se Hillmoor Drive Suite 500, Port St. Lucie FL 34957. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Dicarlo, Michelle Margaret can be contacted via phone (772) 335-9600.

Contact Information

Primary practice address
1700 Se Hillmoor Drive Suite 500 Port St. Lucie FL 34957
Phone: (772) 335-9600
Fax: (772) 398-7951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9100784 Florida

Profile Details

NPI number 1427099282
LBN Legal business name Dicarlo, Michelle Margaret
Credentials P.A.(PHYSICIAN ASSIS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jun 3rd, 2020 - about 4 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 1427099282 NPPES
Florida Other Y03AP BLUE CROSS AND BLUE SHIELD
Florida MEDICAID 000635000 BLUE CROSS AND BLUE SHIELD

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