Individual
MR. MICHAEL JAMES ILIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
603 7TH ST S, ST PETERSBURG, FL 33701-4719
(727) 893-6254
(727) 553-7158
Mailing address
603 7TH ST S, ST PETERSBURG, FL 33701-4719
(727) 893-6254
(727) 553-7158
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9269955
FL
363LF0000X
Family Nurse Practitioner
ARNP9269955
FL
Other
Enumeration date
01/20/2016
Last updated
12/16/2021
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