Individual
MICHELE ST MARTIN HARGREAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4203 BELFORT RD, STE 340, JACKSONVILLE, FL 32216-1409
(904) 880-0911
(904) 880-9388
Mailing address
11945 SAN JOSE BLVD, SUITE 300, JACKSONVILLE, FL 32223-1613
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD425320
PA
207Y00000X
Otolaryngology Physician
Primary
ME98473
FL
207YX0901X
Otology & Neurotology Physician
ME98473
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278642700
—
FL
Enumeration date
02/22/2006
Last updated
11/07/2016
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