Individual
DR. MICHAEL JOSEPH LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4037 NW 86TH TER FL 4, GAINESVILLE, FL 32606-9277
(352) 594-1500
Mailing address
4037 NW 86TH TER FL 4, GAINESVILLE, FL 32606-9277
(352) 594-1500
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME160236
FL
207NP0225X
Pediatric Dermatology Physician
65654
AZ
Other
Enumeration date
08/13/2021
Last updated
10/11/2024
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