Provider Demographics
NPI:1528266426
Name:SAILERS, MICHAEL TROY (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:TROY
Last Name:SAILERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:M.
Other - Middle Name:TROY
Other - Last Name:SAILERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:10141 BIG BEND RD STE 101
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-7419
Mailing Address - Country:US
Mailing Address - Phone:813-397-1270
Mailing Address - Fax:813-397-1271
Practice Address - Street 1:10141 BIG BEND RD
Practice Address - Street 2:SUITE 101
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-7419
Practice Address - Country:US
Practice Address - Phone:813-397-1270
Practice Address - Fax:813-397-1271
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301091750207Q00000X
FLME126172207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1528266426Medicaid
FL019055000Medicaid
FL019055000Medicaid
MI1528266426Medicaid