Provider Demographics
NPI:1639471659
Name:FELIX, MICHELET (ARNP)
Entity Type:Individual
Prefix:
First Name:MICHELET
Middle Name:
Last Name:FELIX
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279 S LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:PAHOKEE
Mailing Address - State:FL
Mailing Address - Zip Code:33476
Mailing Address - Country:US
Mailing Address - Phone:561-446-4312
Mailing Address - Fax:866-611-0620
Practice Address - Street 1:279 S LAKE AVE
Practice Address - Street 2:
Practice Address - City:PAHOKEE
Practice Address - State:FL
Practice Address - Zip Code:33476
Practice Address - Country:US
Practice Address - Phone:561-642-1008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-23
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9249994363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health