Provider Demographics
NPI:1083772305
Name:MICHAEL S. BESS
Entity Type:Organization
Organization Name:MICHAEL S. BESS
Other - Org Name:MICHAEL BESS DPM PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:BESS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:561-689-0303
Mailing Address - Street 1:5405 OKEECHOBEE BLVD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-4543
Mailing Address - Country:US
Mailing Address - Phone:561-689-0303
Mailing Address - Fax:561-684-8884
Practice Address - Street 1:5405 OKEECHOBEE BLVD
Practice Address - Street 2:SUITE 304
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-4543
Practice Address - Country:US
Practice Address - Phone:561-689-0303
Practice Address - Fax:561-684-8884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2011-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2639213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5140720001OtherDMEPOS SUPPLIER#
FLU69034Medicare UPIN
FL5140720001OtherDMEPOS SUPPLIER#
FL65531DMedicare ID - Type UnspecifiedSUFFIX