Individual
MICHELLE ANN LAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90130 OLD HWY, TAVERNIER, FL 33070-2368
(305) 204-4577
Mailing address
90130 OLD HWY, TAVERNIER, FL 33070-2368
(305) 204-4577
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA27206
FL
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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