Healthcare Provider Details

I. General information

NPI: 1376232892
Provider Name (Legal Business Name): MARY MICHEL KAMEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2923 HOPE VALLEY ST
WEST PALM BEACH FL
33411-4800
US

IV. Provider business mailing address

2923 HOPE VALLEY ST
WEST PALM BEACH FL
33411-4800
US

V. Phone/Fax

Practice location:
  • Phone: 561-568-1023
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: