Provider Demographics
NPI:1497020945
Name:DAHDAH, MICHELLE L (PA)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:DAHDAH
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:9960 NW 116TH WAY STE 13
Mailing Address - Street 2:
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33178-1175
Mailing Address - Country:US
Mailing Address - Phone:786-924-1311
Mailing Address - Fax:786-924-1313
Practice Address - Street 1:8720 N KENDALL DR STE 212
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2198
Practice Address - Country:US
Practice Address - Phone:305-670-7650
Practice Address - Fax:855-999-9207
Is Sole Proprietor?:No
Enumeration Date:2012-03-16
Last Update Date:2021-03-25
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Provider Licenses
StateLicense IDTaxonomies
FLPA 9106338363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant