Page, Michelle S

Page, Michelle S is an sole proprietor health care provider with primary practice located at 4288 Woodbine Rd Suite D, Pace FL 32571-8795. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Page, Michelle S can be contacted via phone (850) 995-8600.

Contact Information

Primary practice address
4288 Woodbine Rd Suite D Pace FL 32571-8795
Phone: (850) 995-8600
Fax: (850) 995-9060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME77356 Florida

Profile Details

NPI number 1053369991
LBN Legal business name Page, Michelle S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Nov 22nd, 2011 - about 15 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 1053369991 NPPES
Florida Other 35565 BLUE CROSS & BLUE SHIELD
Florida MEDICAID 259249500 BLUE CROSS & BLUE SHIELD
Florida Other 591-84273 BLUE CROSS & BLUE SHIELD

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