Individual
MAUREEN MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
7415 N DEVON DR, TAMARAC, FL 33321-1082
(954) 726-0980
(954) 341-2252
Mailing address
7415 N DEVON DR, TAMARAC, FL 33321-1082
(954) 726-0980
(954) 341-2252
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222Q00000X
ITDS
FL
Enumeration date
05/16/2007
Last updated
07/08/2007
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