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Individual

MR. MICHAEL LETTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
8900 SW 117TH AVE, SUITE B104, MIAMI, FL 33186-2175
(305) 279-0159
Mailing address
8900 SW 117TH AVE, SUITE B104, MIAMI, FL 33186-2175
(305) 279-0159

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA9103266
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9103266
FL

Other

Enumeration date
05/13/2006
Last updated
08/12/2009
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