MEDICARE: DR. MICHELE L LEMAY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VX0000X	Obstetrics Physician	ME0073879	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043376395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELE L LEMAY MD

Provider Business Mailing Address
First Line	:	5323 4TH AVENUE CIR E
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34208-5623
Country	:	US
Telephone Number	:	941-745-5115
Fax Number	:	941-567-1000

Provider Business Practice Location Address
First Line	:	5323 4TH AVENUE CIR E
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34208-5623
Country	:	US
Telephone Number	:	941-745-5115
Fax Number	:	941-567-1000

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	01/05/2023

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