Individual
MICHELLE MARY CHAMOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(321) 841-1869
(407) 849-6994
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(321) 841-1869
(407) 849-6994
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME167549
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122388500
—
FL
Enumeration date
06/19/2018
Last updated
09/03/2024
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