Female

Marla D. Michaels M.D.

Child & Adolescent Psychiatry Physician in Fort Walton Beach, FL(View on Map)

Full Name

Marla D Michaels M.D.

NPI Number

1447312749

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/14/2006

Specialties

(Taxonomies)

Code

2084P0804X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME112006

Contact
Information

Purpose

Mailing
Location

Address

4447 TURNBERRY PL
137 HOSPITAL DR NE

City

Niceville
Fort Walton Beach

State

FL
FL

Postal Code

32578-3824
32548-5063

Country

US
US

Telephone Number

(850) 630-6707
(850) 833-7500

Identifiers

Identifier

004621500
049317

Identifier State

FL
GA

Identifier Issuer

Unknown
LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/30/2014

Provider Address

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