Individual
MR. MICHELL PAVONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2301 CORAL WAY STE 815, MIAMI, FL 33145-3510
(305) 342-1265
Mailing address
2301 CORAL WAY STE 815, MIAMI, FL 33145-3510
(305) 342-1265
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA61559
FL
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2011
Last updated
10/09/2022
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