Provider Demographics
NPI:1659477313
Name:MICHAELS, STEVEN (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:MICHAELS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7410 WEST BOYNTON BEACH BLVD
Mailing Address - Street 2:B-6
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-6158
Mailing Address - Country:US
Mailing Address - Phone:561-733-4010
Mailing Address - Fax:561-733-6888
Practice Address - Street 1:7410 WEST BOYNTON BEACH BLVD
Practice Address - Street 2:SUITE B-6
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-6158
Practice Address - Country:US
Practice Address - Phone:561-733-4010
Practice Address - Fax:561-733-6888
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLP0669213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T95138Medicare UPIN
FL87252AMedicare ID - Type Unspecified