Individual
MICHELLE LEE ESTEVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 974-2201
(813) 974-7550
Mailing address
2904 W BAY VILLA AVE, TAMPA, FL 33611-1606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A95002
CA
207R00000X
Internal Medicine Physician
ME110636
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME110636
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003817400
—
FL
01
—
14F6N
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/08/2006
Last updated
08/10/2014
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