Individual
DR. MICHAEL MIZRACHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5716 ARBOR CLUB WAY APT 7, BOCA RATON, FL 33433-5746
(954) 544-0745
Mailing address
5716 ARBOR CLUB WAY APT 7, BOCA RATON, FL 33433-5746
(954) 544-0745
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME80526
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265936100
—
FL
01
—
35616
BC/BS
FL
Enumeration date
11/01/2006
Last updated
05/23/2021
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