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Individual
ANTHONY JOSEPH MICHELOTTI
Active
Individual
ANTHONY JOSEPH MICHELOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
25419
FL
390200000X
Student in an Organized Health Care Education/Training Program
123456789
FL
Other
Enumeration date
02/26/2020
Last updated
04/07/2025
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