Provider Demographics
NPI:1194082263
Name:PARITZKY, MICHAEL J (DPM)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:PARITZKY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3410 W 84TH ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4906
Mailing Address - Country:US
Mailing Address - Phone:305-558-3571
Mailing Address - Fax:305-558-3682
Practice Address - Street 1:3410 W 84TH ST
Practice Address - Street 2:SUITE 110
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-4906
Practice Address - Country:US
Practice Address - Phone:305-558-3571
Practice Address - Fax:305-558-3682
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9106257363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT55488Medicare UPIN