Imon, Michael A.

Imon, Michael A. is an individual health care provider with primary practice located at 2201 45Th Street , West Palm Beach FL 33407. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Imon, Michael A. can be contacted via phone (954) 838-2371.

Contact Information

Primary practice address
2201 45Th Street West Palm Beach FL 33407
Phone: (954) 838-2371
Fax: (954) 851-1758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 001965 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X AA85 Florida

Profile Details

NPI number 1154415404
LBN Legal business name Imon, Michael A.
Credentials AA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Nov 4th, 2011 - about 13 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 1154415404 NPPES
Georgia MEDICAID 100000751K
Georgia MEDICAID 100000751B
Georgia Other 87

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