Organization
DIANE L MICHAELS DC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE LEE MICHAELS D.C. (DR. DIANE L. MICHAELS)
(941) 761-0210
Entity
Organization
Contact information
Practice address
501 VILLAGE GREEN PKWY, SUITE 15, BRADENTON, FL 34209-3404
(941) 761-0210
(941) 795-0708
Mailing address
501 VILLAGE GREEN PKWY, SUITE 15, BRADENTON, FL 34209-3404
(941) 761-0210
(941) 795-0708
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006891
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10715738
CAQH
FL
Enumeration date
04/08/2008
Last updated
09/10/2008
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