Mr. Joshua A. Michaelman PA-C
Surgical Physician Assistant in Melbourne, FL(View on Map)
Full Name
Mr. Joshua Adam Seth Michaelman PA-C
NPI Number
1043327448
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/23/2006
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA 9104113
Contact
Information
Purpose
Mailing
Location
Address
3300 S FISKE BLVD
1350 HICKORY ST
City
Rockledge
Melbourne
State
FL
FL
Postal Code
32955-4306
32901-3224
Country
US
US
Telephone Number
N/A
(321) 434-3455
Identifiers
Identifier
102086700
P01390678
AG195Q
PA9104113
Identifier State
FL
FL
FL
FL
Identifier Issuer
Unknown
FL RR MEDICARE
FL MEDICARE
LICENSE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/10/2020