Individual
DR. MICHELLE WHIDDON FOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
400 LAKEBRIDGE PLAZA DR, ORMOND BEACH, FL 32174-5157
(386) 677-9044
Mailing address
400 LAKEBRIDGE PLAZA DR, ORMOND BEACH, FL 32174-5157
(386) 677-9044
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS 10841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101017520
PHYSICIAN LICENSE
MI
01
—
OS 10841
MEDICAL LICENSE
FL
Enumeration date
09/24/2007
Last updated
02/13/2014
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