Powell, Michelle C

Powell, Michelle C is an individual health care provider with primary practice located at 17100 Ne 19Th Ave , North Miami Beach FL 33162-3102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Powell, Michelle C can be contacted via phone (305) 948-4701.

Contact Information

Primary practice address
17100 Ne 19Th Ave North Miami Beach FL 33162-3102
Phone: (305) 948-4701
Fax: (305) 948-8591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X XLOS0007263 Florida

Profile Details

NPI number 1750352068
LBN Legal business name Powell, Michelle C
Credentials DO MPA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Oct 9th, 2007 - about 17 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 1750352068 NPPES
Florida MEDICAID 260008100

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