Individual
MICHAEL L CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 W UNDERWOOD ST, SUITE 200, ORLANDO, FL 32806-1122
(407) 649-6884
(407) 245-7059
Mailing address
77 W UNDERWOOD ST, SUITE 200, ORLANDO, FL 32806-1122
(407) 649-6884
(407) 245-7059
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME70768
FL
2086S0102X
Surgical Critical Care Physician
Primary
ME70768
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251067700
—
FL
01
—
ME70768
MEDICAL LICENSE
FL
Enumeration date
01/13/2006
Last updated
11/10/2016
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