Individual
EDWARD MICHAELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
(239) 275-3222
Mailing address
201 LEELAND HEIGHTS BLVD E, LEHIGH ACRES, FL 33936-6714
(239) 839-4598
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171MOOOOOX
—
FL
Enumeration date
02/10/2017
Last updated
02/10/2017
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