Provider Demographics
NPI:1386639102
Name:MAYS, MICHELE (ARNP)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:MAYS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6010 POINTE WEST BLVD
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-5531
Mailing Address - Country:US
Mailing Address - Phone:941-746-2711
Mailing Address - Fax:941-746-3433
Practice Address - Street 1:6010 POINTE WEST BLVD
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-5531
Practice Address - Country:US
Practice Address - Phone:941-746-2711
Practice Address - Fax:941-746-3433
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1922612207RI0200X
FLARNP1922612363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL650623359OtherTAX ID
FLP37138Medicare ID - Type Unspecified
FL650623359OtherTAX ID