Individual
MRS. MICHELLE ELLAINE MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
4477 MEDICAL CENTER WAY, SUITE A, WEST PALM BEACH, FL 33407-3257
(561) 840-7977
Mailing address
4477 MEDICAL CENTER WAY, SUITE A, WEST PALM BEACH, FL 33407-3257
(561) 840-7977
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
55528
FL
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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