Individual
MICHELE MAHOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3725 12TH CT, SUITE A, VERO BEACH, FL 32960-6543
(772) 567-0081
Mailing address
3725 12TH CT, SUITE A, VERO BEACH, FL 32960-6543
(772) 567-0081
(772) 567-5561
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME64054
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME64054
STATE LICENSE
FL
Enumeration date
01/30/2006
Last updated
08/29/2014
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