Mark S Michelman
Hematologist
303 Pinellas St Suite 330
Clearwater
, Florida 33756-3809
Mark S Michelman
Hematologist
303 Pinellas St Suite 330
Clearwater
, Florida 33756-3809
(727) 502-8861
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About
Features
Specialties
- Hematologist
Languages spoken
- English
Location
First Address
- Mark S Michelman
- 1201 5th Ave N Suite 505
- St Petersburg, FL
- Zip : 33705-1455
- Fax : (727) 502-8861
- Phone : (727) 821-8194
Second Address
- Mark S Michelman
- 303 Pinellas St Suite 330
- Clearwater, FL
- Zip : 33756-3809
- Fax : (727) 461-2603
- Phone : (727) 447-8100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0000X | Hematologist | ME21517 | FL |
National Provider Identifier
| NPI | 1225030620 |
|---|---|
| Provider Name | Mark S Michelman |
| First Address | St Petersburg, FL 33705-1455 |
| Second Address | Clearwater, FL 33756-3809 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2005 |
| Last Update Date | 05/01/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 326383900 | (05) | FL |
| 78042 | BLUE CROSS / BLUE SHIELD (01) | |
| 830003872 | MEDICARE RR (01) | FL |
| D58340 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.