MEDICARE: VALLEY OF HOPE HOLISTIC MEDICAL CENTER

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1467064824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY OF HOPE HOLISTIC MEDICAL CENTER

Provider Business Mailing Address
First Line	:	2100 45TH ST STE B23B24
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2016
Country	:	US
Telephone Number	:	561-814-2786
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 45TH ST STE B23B24
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2016
Country	:	US
Telephone Number	:	561-814-2786
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. IMMACULA MICHEL
Credential	:	MD
Telephone Number	:	305-321-7761

Provider Enumeration Date	:	08/18/2020
Last Update Date	:	08/18/2020

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