Individual
MR. MICHAEL DANIEL LAVELANET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3708 N OCEAN BLVD, FORT LAUDERDALE, FL 33308-6451
(954) 909-4998
Mailing address
5654 NW 101ST DR, CORAL SPRINGS, FL 33076-2592
(954) 806-3714
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
9118607
FL
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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