Individual
DR. MICHELLE KOO
Active
Individual
DR. MICHELLE KOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO 3281
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
PO 3281
FL
213ER0200X
Radiology Podiatrist
PO 3281
FL
213ES0000X
Sports Medicine Podiatrist
2002
NV
213ES0000X
Sports Medicine Podiatrist
PO 3281
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO 3281
FL
213ES0131X
Foot Surgery Podiatrist
Primary
PO 3281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340656300
—
FL
Enumeration date
12/29/2006
Last updated
06/09/2025
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