Individual
DR. MICHELLE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
FLORIDA ENT & ALLERGY, 13015 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578-7402
(813) 879-8045
(855) 388-5356
Mailing address
SELECT PHYSICIANS ALLIANCE, 10002 PRINCESS PALM AVE. STE 332, TAMPA, FL 33619-8327
(813) 571-7184
(813) 654-4695
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
4854
GA
207Y00000X
Otolaryngology Physician
Primary
ME125928
FL
208600000X
Surgery Physician
125-058029
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017607600
—
FL
Enumeration date
06/21/2010
Last updated
05/06/2019
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