Individual
MR. MICHAEL J GIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
322 RACETRACK RD NE, FORT WALTON BEACH, FL 32547-2546
(850) 863-3000
(850) 374-3200
Mailing address
322 RACETRACK RD NE, FORT WALTON BEACH, FL 32547-2546
(850) 863-3000
(850) 374-3200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0058957
FL
207RP1001X
Pulmonary Disease Physician
180844-1205
UT
207RP1001X
Pulmonary Disease Physician
70035
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104898980
—
UT
Enumeration date
02/06/2006
Last updated
03/30/2021
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