MEDICARE: DR. MICHON MARIE FLOREANI 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	207V00000X	Obstetrics & Gynecology Physician	ME73467	FL

General Provider Information

NPI Number	:	1457551475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHON MARIE FLOREANI M.D.

Provider Business Mailing Address
First Line	:	1660 MEDICAL BLVD STE 300
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-1497
Country	:	US
Telephone Number	:	239-513-0053
Fax Number	:	239-596-0900

Provider Business Practice Location Address
First Line	:	1660 MEDICAL BLVD STE 300
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-1497
Country	:	US
Telephone Number	:	239-513-0053
Fax Number	:	239-596-0900

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

Provider Enumeration Date	:	07/18/2007
Last Update Date	:	07/18/2007

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