Basic Information
| Provider Information | |||||||||
| NPI: | 1013257088 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GEORGE MICHEL MD, PA. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6140 SW 70TH ST | ||||||||
| Address2: | SECOND FLOOR | ||||||||
| City: | SOUTH MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331433419 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052847577 | ||||||||
| FaxNumber: | 3056753714 | ||||||||
| Practice Location | |||||||||
| Address1: | 10620 SW 83RD AVE | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331563514 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7865431930 | ||||||||
| FaxNumber: | 3056753714 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2013 | ||||||||
| LastUpdateDate: | 02/27/2013 | ||||||||
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| AuthorizedOfficialLastName: | MICHEL | ||||||||
| AuthorizedOfficialFirstName: | GEORGE | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7862007320 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | ME67268 | FL | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.