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Individual

DR. PONCELET MICHEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, PA.

Contact information

Practice address
581 NW 183RD ST, MIAMI, FL 33169-4469
(305) 651-1690
Mailing address
581 NW 183RD ST, MIAMI, FL 33169-4469
(305) 651-1690

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
483-P.A.
PR
207QA0505X
Adult Medicine Physician
Primary
ACN1720
FL
207QA0505X
Adult Medicine Physician
NJDCATEMP000848
NJ
207QA0505X
Adult Medicine Physician
NJDCATEMP000856
NJ

Other

Enumeration date
04/22/2020
Last updated
05/05/2026
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