MEDICARE: DR. KARL H. MICHEL D.P.M

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	213ES0103X	Foot & Ankle Surgery Podiatrist	5901002267	MI
2	213ES0103X	Foot & Ankle Surgery Podiatrist	PO3429	FL

General Provider Information

NPI Number	:	1295926301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARL H. MICHEL D.P.M

Provider Business Mailing Address
First Line	:	4601 N CONGRESS AVE
Second Line	:	STE 101
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3381
Country	:	US
Telephone Number	:	561-907-7631
Fax Number	:	866-326-7807

Provider Business Practice Location Address
First Line	:	4615 CAPITAL DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-8184
Country	:	US
Telephone Number	:	561-907-7631
Fax Number	:	866-326-7807

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

Provider Enumeration Date	:	08/05/2007
Last Update Date	:	11/14/2017

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