Individual
MICHAEL M FLEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
1716 KINSMERE DR, TRINITY, FL 34655-4522
(727) 376-2792
Mailing address
1716 KINSMERE DR, TRINITY, FL 34655-4522
(727) 376-2792
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
CRT 72753
FL
Other
Enumeration date
07/06/2008
Last updated
07/06/2008
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