Individual
MS. MICHELLE LYNN MYERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 THOMAS ST, HOLLYWOOD, FL 33021-3524
(954) 966-7473
Mailing address
4101 THOMAS ST, HOLLYWOOD, FL 33021-3524
(954) 966-7473
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OTA 9329
FL
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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