Individual
PAUL KENNETH MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
818 MAIN LN, ORLANDO, FL 32801-3727
(321) 841-6547
(321) 841-5103
Mailing address
818 MAIN LN, ORLANDO, FL 32801-3727
(321) 841-6547
(321) 841-5103
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
OS0005914
FL
2083X0100X
Occupational Medicine Physician
OS0005914
FL
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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