Provider Demographics
NPI:1619946597
Name:LIBMAN, MICHELE F (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:F
Last Name:LIBMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1050 SE MONTEREY RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-4512
Mailing Address - Country:US
Mailing Address - Phone:772-419-0560
Mailing Address - Fax:772-403-2379
Practice Address - Street 1:1050 SE MONTEREY RD
Practice Address - Street 2:SUITE 101
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-4512
Practice Address - Country:US
Practice Address - Phone:772-419-0560
Practice Address - Fax:772-403-2379
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2014-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME81297207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL51720VMedicare PIN
FLH06452Medicare UPIN