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NPI Code Detail

MEDICARE: MRS. MICHELE LEE FLUKE ARNP

MEDICARE: MRS. MICHELE LEE FLUKE ARNP
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
1363LF0000XFamily Nurse PractitionerARNP9191208FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417036831
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELE LEE FLUKE ARNP
Provider Business Mailing Address
First Line : 9635 SHAMOKIN LN
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-3954
Country : US
Telephone Number : 727-841-7643
Fax Number :
Provider Business Practice Location Address
First Line : 11180 SPRING HILL DR
Second Line :
City : SPRING HILL
State : FL
Zip : 34609-4648
Country : US
Telephone Number : 727-841-7643
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2006
Last Update Date : 11/09/2017

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