Individual
MICHAEL THOMAS MASSENGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
900 NW 17TH ST, MIAMI, FL 33136-1119
(305) 326-6000
Mailing address
900 NW 17TH ST, MIAMI, FL 33136-1134
(305) 326-6000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME166869
FL
Other
Enumeration date
04/08/2020
Last updated
08/05/2024
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