Individual
EHAB S MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3920 BEE RIDGE RD STE E-E, SARASOTA, FL 34233-1262
(941) 777-0002
(941) 777-0036
Mailing address
3920 BEE RIDGE RD STE E-E, SARASOTA, FL 34233-1262
(941) 777-0002
(941) 777-0036
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
39387
MN
207Q00000X
Family Medicine Physician
Primary
ME118919
FL
207R00000X
Internal Medicine Physician
39387
MN
208000000X
Pediatrics Physician
39387
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019313300
—
FL
01
—
14V0H
BCBS
FL
01
—
QN678
MEDICARE
FL
01
—
QN680
MEDICARE
FL
Enumeration date
06/12/2006
Last updated
05/28/2024
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