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General NPI Number Information
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NPI Number | 1306547286
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Entity Type | Organization
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Legal Business Name | MICHAEL MD PLLC
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Dates
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Enumeration Date | 03/16/2023
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 3920 BEE RIDGE RD STE E
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City | SARASOTA
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State | FL
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Zip | 34233-1207
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Country | US
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Telephone | 941-777-0002
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Fax | 941-777-0036
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Provider Business Mailing Address
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Address Line | 3920 BEE RIDGE RD STE E
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City | SARASOTA
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State | FL
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Zip | 34233-1207
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Country | US
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Telephone | 941-777-0002
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Fax | 941-777-0036
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Authorized Official
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Title or Position | PHYSICIAN AND OWNER
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Name | EHAB MICHAEL
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Credential | MD
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Telephone | 605-321-5111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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