Individual
MICHAEL ALAN ISICOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 OFFICE PARK DR, PALM COAST, FL 32137-3808
(386) 447-6615
(386) 447-1266
Mailing address
416 OCEAN GROVE CIR, ST AUGUSTINE, FL 32080-8721
(904) 461-1723
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MEOO83733
FL
Other
Enumeration date
03/06/2007
Last updated
09/16/2008
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