Individual
MICHAEL A. IMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
2201 45TH STREET, WEST PALM BEACH, FL 33407
(954) 838-2371
(954) 851-1758
Mailing address
1613 N HARRISON PARKWAY, #200, SUNRISE, FL 33323-2853
(954) 838-2371
(954) 851-1746
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
001965
GA
367H00000X
Anesthesiologist Assistant
Primary
AA85
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000751B
—
GA
05
—
100000751K
—
GA
01
—
87
NCCAA CERTIFICATE #
GA
Enumeration date
10/03/2006
Last updated
11/04/2011
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