Individual
DR. MICHAEL TERRANCE HAVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 PINE RIDGE RD STE 202, NAPLES, FL 34108-8913
(239) 325-1135
(239) 262-3843
Mailing address
3451 PINE RIDGE RD BLDG 601, NAPLES, FL 34109-3922
(239) 449-3072
(877) 334-1886
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME0076299
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43995
BLUE CROSS
FL
Enumeration date
01/25/2006
Last updated
10/06/2022
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