MEDICARE: DR. MICHAEL NEAL FUNK 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	ME95185	FL

General Provider Information

NPI Number	:	1891956975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL NEAL FUNK M.D.

Provider Business Mailing Address
First Line	:	1480 N UNIVERSITY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6040
Country	:	US
Telephone Number	:	954-840-0530
Fax Number	:	954-840-3570

Provider Business Practice Location Address
First Line	:	1480 N UNIVERSITY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6040
Country	:	US
Telephone Number	:	954-840-0530
Fax Number	:	954-840-3570

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

Provider Enumeration Date	:	06/20/2008
Last Update Date	:	07/05/2021

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