Organization
EHAB M MICHAEL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EHAB M MICHAEL MD (PRESIDENT)
(727) 842-3600
Entity
Organization
Contact information
Practice address
5411 GRAND BLVD, SUITE 101, NEW PORT RICHEY, FL 34652-4011
(727) 842-3600
(727) 845-0732
Mailing address
5411 GRAND BLVD, SUITE 101, NEW PORT RICHEY, FL 34652-4011
(727) 842-3600
(727) 845-0732
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME67843
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271681000
—
FL
01
—
AH501
MEDICARE
FL
Enumeration date
07/20/2007
Last updated
03/07/2014
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