Musto, Michele L.

Musto, Michele L. is an individual health care provider with primary practice located at 820 Prudential Dr Ste 304 , Jacksonville FL 32207-8205. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Musto, Michele L. can be contacted via phone (904) 202-3860.

Contact Information

Primary practice address
820 Prudential Dr Ste 304 Jacksonville FL 32207-8205
Phone: (904) 202-3860
Fax: (904) 202-3846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 000556 Georgia
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X TL31424 South Carolina
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 112784 Florida
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 180956 North Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME112784 Florida

Profile Details

NPI number 1699977694
LBN Legal business name Musto, Michele L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated Jan 25th, 2019 - about 5 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 1699977694 NPPES
Florida MEDICAID 013879800
Florida MEDICAID 770574093A
Florida Other 01067717
Florida Other 395491

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