MEDICARE: MICHELLE PLUMMER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AP 3571	FL

General Provider Information

NPI Number	:	1205374261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE PLUMMER

Provider Business Mailing Address
First Line	:	622 N PINE HILLS RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-7630
Country	:	US
Telephone Number	:	321-400-8018
Fax Number	:

Provider Business Practice Location Address
First Line	:	622 N PINE HILLS RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-7630
Country	:	US
Telephone Number	:	321-400-8018
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2017
Last Update Date	:	02/09/2017

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Directions to “ MICHELLE PLUMMER ” Practice Location

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