Healthcare Provider Details

I. General information

NPI: 1932910445
Provider Name (Legal Business Name): MICHEL GELL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 CYPRESS PKWY STE 104
KISSIMMEE FL
34759-3328
US

IV. Provider business mailing address

2717 EAGLE CANYON DR S
KISSIMMEE FL
34746-3170
US

V. Phone/Fax

Practice location:
  • Phone: 407-914-9168
  • Fax: 407-337-8005
Mailing address:
  • Phone: 407-914-9168
  • Fax: 407-337-8005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA105048
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: