Individual
MICHELLE K FLOYD REBOLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7900 NW 27TH AVE STE E-12, MIAMI, FL 33147-4909
(786) 318-2337
(786) 228-4963
Mailing address
7900 NW 27TH AVE # 12, MIAMI, FL 33147-4909
(786) 318-2337
(786) 228-4963
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME156123
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115358300
—
FL
05
—
2702851-00
—
FL
Enumeration date
04/11/2006
Last updated
06/22/2023
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