Provider Demographics
NPI:1275071045
Name:FLORMAN, MICHELLE (CPM, LM)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:FLORMAN
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3056 ROYAL ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-6741
Mailing Address - Country:US
Mailing Address - Phone:504-210-5081
Mailing Address - Fax:504-285-4100
Practice Address - Street 1:3056 ROYAL ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-6741
Practice Address - Country:US
Practice Address - Phone:504-210-5081
Practice Address - Fax:504-285-4100
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA300643176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife