Fitzgerald, Michael David

Fitzgerald, Michael David is an individual health care provider with primary practice located at 2501 27Th Ave Suite A-2, Vero Beach FL 32960-1960. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fitzgerald, Michael David can be contacted via phone (772) 563-2644.

Contact Information

Primary practice address
2501 27Th Ave Suite A-2 Vero Beach FL 32960-1960
Phone: (772) 563-2644
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW1202 Florida

Profile Details

NPI number 1922073097
LBN Legal business name Fitzgerald, Michael David
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922073097 NPPES
Florida Other Z2082 BS/BS

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