Organization
PROJECT ACCESS FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK J. MICHEL M.D. (CEO)
(305) 759-4778
Entity
Organization
Contact information
Practice address
1435 W 49TH PL STE 503, HIALEAH, FL 33012-3158
(305) 787-3267
(786) 953-5323
Mailing address
1435 W 49TH PL STE 503, HIALEAH, FL 33012-3158
(305) 787-3267
(786) 953-5323
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
FL
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268908101
—
FL
01
—
K5396A
MEDICARE PTAN
FL
Enumeration date
05/02/2007
Last updated
09/12/2025
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