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General NPI Number Information
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NPI Number | 1699450825
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Entity Type | Organization
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Legal Business Name | JOHNNY MICHEL, M.D., PLLC.
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Dates
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Enumeration Date | 06/15/2023
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 2623 S SEACREST BLVD STE 104
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7535
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Country | US
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Telephone | 347-264-9016
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Fax |
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Provider Business Mailing Address
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Address Line | 135 WESTON RD
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City | WESTON
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State | FL
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Zip | 33326-1111
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Country | US
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Telephone | 347-264-9016
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHNNY MICHEL
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Credential | MD
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Telephone | 347-264-9016
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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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