Provider Demographics
NPI:1215376835
Name:DANIEL, MICHELLE CARIBE (DOM, AP, LMT)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:CARIBE
Last Name:DANIEL
Suffix:
Gender:F
Credentials:DOM, AP, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17189 N 96TH WAY
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33478
Mailing Address - Country:US
Mailing Address - Phone:561-315-5924
Mailing Address - Fax:
Practice Address - Street 1:17189 N 96TH WAY
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33478
Practice Address - Country:US
Practice Address - Phone:561-315-5924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AP3107171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist