Healthcare Provider Details

I. General information

NPI: 1841128527
Provider Name (Legal Business Name): MICHAEL JOHN FALCHEK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 STANFORD DRIVE
CORAL GABLES FL
33146
US

IV. Provider business mailing address

23911 INDIAN CREST CT
KATY TX
77494-2856
US

V. Phone/Fax

Practice location:
  • Phone: 305-284-2211
  • Fax:
Mailing address:
  • Phone: 832-799-1775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: