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Individual
MR. MICHAEL LEE GRAVES
Active
Individual
MR. MICHAEL LEE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT13253
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10746783
CAQH
FL
01
—
2110940
AETNA-HMO
FL
01
—
214986
AMERIGROUP
FL
01
—
299647
AVMED
FL
01
—
5170699
AETNA-PPO
FL
05
—
891433800
—
FL
01
—
CIGNA
650859062
FL
Enumeration date
09/22/2006
Last updated
06/26/2024
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