Individual
MR. MICHAEL JOSEPH WILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
306 NE 3RD ST, OKEECHOBEE, FL 34972-2949
(863) 357-4994
(863) 357-4912
Mailing address
1323 CARIBBEAN WAY, LANTANA, FL 33462-4252
(561) 586-2282
(863) 357-4912
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 9148
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194450001
PTRAN
FL
Enumeration date
06/05/2007
Last updated
04/10/2008
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