Individual
MICHAEL FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4655 66TH ST N, KENNETH CITY, FL 33709-4827
(727) 546-4700
(727) 549-8109
Mailing address
4655 66TH ST N, KENNETH CITY, FL 33709-4827
(727) 546-4700
(727) 549-8108
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT32946
FL
Other
Enumeration date
09/05/2017
Last updated
01/27/2020
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