Female

Michelle A. De Marco PA-C

Physician Assistant in Celebration, FL(View on Map)

Full Name

Michelle Anneliese De Marco PA-C

NPI Number

1104339282

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/10/2017

Specialties

(Taxonomies)

Code

363A00000X
363AM0700X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

PA9110641

Contact
Information

Purpose

Mailing
Location

Address

1530 CELEBRATION BLVD STE 101
1530 CELEBRATION BLVD STE 101

City

Celebration
Celebration

State

FL
FL

Postal Code

34747-5165
34747-5165

Country

US
US

Telephone Number

(407) 566-0404
(407) 566-0404

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

Data last updated by provider on 03/08/2018

Provider Address

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