Individual
MICHAEL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 W 68TH ST STE 202, HIALEAH, FL 33016-1801
(305) 364-2107
Mailing address
2154 NICE AVE, MENTONE, CA 92359-9659
(440) 296-6412
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
XXXX
FL
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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