Individual
ETZER MICHELET AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 W OAK ST, KISSIMMEE, FL 34741-4024
(407) 944-5200
(407) 944-5250
Mailing address
86 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 841-5142
(407) 648-3686
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME179181
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN27316
FL
Other
Enumeration date
06/28/2018
Last updated
07/13/2026
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