Organization
MICHELE MAHOLTZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE MAHOLTZ MD (PRESIDENT)
(772) 978-1673
Entity
Organization
Contact information
Practice address
3725 12TH CT, VERO BEACH, FL 32960-6589
(772) 978-1673
(772) 567-5561
Mailing address
3725 12TH CT, VERO BEACH, FL 32960-6589
(772) 978-1673
(772) 567-5561
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0064054
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18800
BCBS
FL
Enumeration date
04/11/2007
Last updated
01/28/2008
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