Individual
MICHAEL ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5153 N 9TH AVE STE 5I, PENSACOLA, FL 32504-8785
(850) 416-1785
(850) 416-2160
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
ME168806
FL
Other
Enumeration date
06/24/2019
Last updated
10/03/2024
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