Individual
DR. MARK MICHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3399 PGA BLVD, STE 350, PALM BEACH GARDENS, FL 33410
(561) 624-0099
(561) 624-7373
Mailing address
3399 PGA BLVD, STE 350, PALM BEACH GARDENS, FL 33410
(561) 624-0099
(561) 624-7373
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME60054
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME60054
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056453200
—
FL
Enumeration date
07/28/2006
Last updated
11/30/2017
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