Mccarthy-Lavish, Michele Anne

Mccarthy-Lavish, Michele Anne is an individual health care provider with primary practice located at 1223 Gateway Dr , Melbourne FL 32901-2607. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mccarthy-Lavish, Michele Anne can be contacted via phone (321) 549-0752.

Contact Information

Primary practice address
1223 Gateway Dr Melbourne FL 32901-2607
Phone: (321) 549-0752
Fax: (321) 952-2330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN1599172 Florida

Profile Details

NPI number 1023003514
LBN Legal business name Mccarthy-Lavish, Michele Anne
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated May 9th, 2024 - about last year

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 1023003514 NPPES
Florida Other E0558V FL MEDICARE
Florida Other P01789933 FL MEDICARE
Florida MEDICAID 307549400 FL MEDICARE

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