Individual
MRS. MICHELLE BERTHELOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 HIGHLAND ST N, ST PETERSBURG, FL 33701-2120
(727) 827-4778
(727) 827-4779
Mailing address
524 HIGHLAND ST N, ST PETERSBURG, FL 33701-2120
(727) 827-4778
(727) 827-4779
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
AL10104
FL
372600000X
Adult Companion
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141913700
—
FL
Enumeration date
01/05/2014
Last updated
01/05/2014
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