Provider Demographics
NPI:1659849024
Name:MICHEL JOSEPH, MYRIAME
Entity Type:Individual
Prefix:
First Name:MYRIAME
Middle Name:
Last Name:MICHEL JOSEPH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 NW FEDERAL HWY # 165
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-1019
Mailing Address - Country:US
Mailing Address - Phone:561-891-5804
Mailing Address - Fax:561-200-8104
Practice Address - Street 1:850 NW FEDERAL HWY # 165
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-1019
Practice Address - Country:US
Practice Address - Phone:561-891-5804
Practice Address - Fax:561-200-8104
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-05
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL376J00000X, 106S00000X, 261QD1600X, 374U00000X, 385HR2060X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No376J00000XNursing Service Related ProvidersHomemaker
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No374U00000XNursing Service Related ProvidersHome Health Aide
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL023933400Medicaid
FL022956400Medicaid