Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | CH6663 | FL |
NPI | 1184729402 |
---|---|
Provider Name | Dr. Michelle S. Narson |
First Address | Stuart, FL 34994-2849 |
Second Address | Stuart, FL 34994-2849 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 17/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
380990100 | (05) | FL |
U54576 | (02) | FL |