MEDICARE: MICHAEL LAWRENCE METZGER M.D.

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	207RC0000X	Cardiovascular Disease Physician	ME0097956	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME97956	OTHER	FL	LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235253899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL LAWRENCE METZGER M.D.

Provider Business Mailing Address
First Line	:	13550 JOG RD 204
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-3809
Country	:	US
Telephone Number	:	561-515-0080
Fax Number	:	561-300-8620

Provider Business Practice Location Address
First Line	:	13550 JOG RD 204
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-3809
Country	:	US
Telephone Number	:	561-515-0080
Fax Number	:

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

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	02/01/2016

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