Healthcare Provider Details

I. General information

NPI: 1588041982
Provider Name (Legal Business Name): MICHAEL PHILIPPE-AUGUSTE M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2015
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 N CONGRESS AVE STE 103
WEST PALM BEACH FL
33407-3284
US

IV. Provider business mailing address

4700 N CONGRESS AVE STE 103
WEST PALM BEACH FL
33407-3284
US

V. Phone/Fax

Practice location:
  • Phone: 561-877-5939
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD205749
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberME153962
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: