Provider Demographics
NPI:1346247103
Name:RINALDI, MICHAEL J (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:RINALDI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5230 WILLING ST
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32570-4971
Mailing Address - Country:US
Mailing Address - Phone:850-983-7778
Mailing Address - Fax:850-983-7785
Practice Address - Street 1:150 E REDSTONE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32539-5357
Practice Address - Country:US
Practice Address - Phone:850-983-7778
Practice Address - Fax:850-983-7785
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS7850207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL271433700Medicaid
AL591-74859OtherBCBS
FL43186OtherBCBS FL
AL591-74859OtherBCBS
FL271433700Medicaid