Individual
MICHAEL J CICHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9804 N 56TH ST, TEMPLE TERRACE, FL 33617
(813) 985-5513
(813) 989-3777
Mailing address
9804 N 56TH ST, TEMPLE TERRACE, FL 33617
(813) 985-5513
(813) 989-3777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME21241
FL
207RI0200X
Infectious Disease Physician
Primary
ME21241
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037355900
—
FL
Enumeration date
10/17/2006
Last updated
05/15/2014
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