# FATIMA MEDICAL GROUP, LLC

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

## Provider details

- **NPI number:** 1972896116
- **Authorized official:** JEAN-LUC MICHEL MD (OWNER/PRESIDENT)
- **Authorized official phone:** (561) 968-2913

## Contact information

- **Practice address:** 1800 FOREST HILL BLVD, \# B-9, WEST PALM BEACH, FL 33406-6094
- **Practice address phone:** (561) 968-2913
- **Practice address fax:** (561) 968-2920
- **Mailing address:** 1800 FOREST HILL BLVD, \# B-9, WEST PALM BEACH, FL 33406-6094
- **Mailing address phone:** (561) 968-2913
- **Mailing address fax:** (561) 968-2920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ACN96 | FL | Yes |

## Other

- **Enumeration date:** 05/20/2011
- **Last updated:** 05/20/2011