Healthcare Provider Details

I. General information

NPI: 1811840812
Provider Name (Legal Business Name): DR MICHELE CHAMPIGNY DO PC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 NE JOES POINT RD
STUART FL
34996-1420
US

IV. Provider business mailing address

3950 NE JOES POINT RD
STUART FL
34996-1420
US

V. Phone/Fax

Practice location:
  • Phone: 440-413-5677
  • Fax:
Mailing address:
  • Phone: 440-413-5677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHELE ROSSI CHAMPIGNY
Title or Position: OWNER
Credential:
Phone: 440-413-5677