Individual
JACQUELINE MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD, B100296, GAINESVILLE, FL 32610-3003
(352) 273-8234
Mailing address
1600 SW ARCHER RD, B100296, GAINESVILLE, FL 32610-3003
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS14512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021983000
—
FL
Enumeration date
05/16/2014
Last updated
10/09/2017
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