Healthcare Provider Details

I. General information

NPI: 1316387178
Provider Name (Legal Business Name): MICHELLE COVINGTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2013
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 W CENTRAL PKWY
ALTAMONTE SPRINGS FL
32714-2415
US

IV. Provider business mailing address

480 W CENTRAL PKWY
ALTAMONTE SPRINGS FL
32714-2415
US

V. Phone/Fax

Practice location:
  • Phone: 407-682-0808
  • Fax:
Mailing address:
  • Phone: 407-682-0808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberME143574
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME143574
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: