Individual
MICHELLE D. MASSIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4627 NW 53RD AVE, GAINESVILLE, FL 32606-4357
(352) 335-8888
(352) 335-9427
Mailing address
4627 NW 53RD AVE, GAINESVILLE, FL 32606-4357
(352) 335-8888
(352) 335-9427
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME95485
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275091100
—
FL
Enumeration date
07/17/2006
Last updated
10/17/2012
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