# MICHELLE KOO, D.P.M., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366716243
- **Authorized official:** MICHELLE KOO DPM (PRESIDENT)
- **Authorized official phone:** (954) 770-0587

## Contact information

- **Practice address:** 1602 ALTON RD \# 480, MIAMI BEACH, FL 33139-2421
- **Practice address phone:** (786) 459-1210
- **Mailing address:** 1602 ALTON RD \# 480, MIAMI BEACH, FL 33139-2421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO3281 | FL | Yes |

## Other

- **Enumeration date:** 02/24/2012
- **Last updated:** 02/24/2012