Provider Demographics
NPI:1316987571
Name:PSIKOGIOS, MICHAEL LEN (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LEN
Last Name:PSIKOGIOS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4011 E SILVER SPRINGS BLVD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-5098
Mailing Address - Country:US
Mailing Address - Phone:352-261-0400
Mailing Address - Fax:844-388-6186
Practice Address - Street 1:4011 E SILVER SPRINGS BLVD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470
Practice Address - Country:US
Practice Address - Phone:352-261-0400
Practice Address - Fax:844-388-6186
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2018-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME67398207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL377153900Medicaid
FLF04838Medicare UPIN