Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CH13840 | FL |
NPI | 1184375388 |
---|---|
Provider Name | Dr. Jean Claude Michel |
First Address | Fort Lauderdale, FL 33311-1819 |
Second Address | Fort Lauderdale, FL 33311-1819 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2022 |
Last Update Date | 10/01/2022 |