Individual
KHALIAH MCMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8211
(904) 202-2000
Mailing address
1379 COOPERS HAWK WAY, MIDDLEBURG, FL 32068-8792
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA920
FL
Other
Enumeration date
09/28/2023
Last updated
02/28/2024
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