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Individual
DR. MICHAEL TIBBETTS
Active
Individual
DR. MICHAEL TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME115062
FL
207W00000X
Ophthalmology Physician
Primary
ME115062
FL
Other
Enumeration date
06/26/2009
Last updated
08/07/2014
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