Provider Demographics
NPI:1730638388
Name:MIDDLETON, MICHELLE ARIZMENDI (PA-C)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ARIZMENDI
Last Name:MIDDLETON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8132 OKEECHOBEE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2000
Mailing Address - Country:US
Mailing Address - Phone:561-585-9619
Mailing Address - Fax:561-293-8325
Practice Address - Street 1:8132 OKEECHOBEE BLVD STE A
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2000
Practice Address - Country:US
Practice Address - Phone:561-585-9619
Practice Address - Fax:561-293-8325
Is Sole Proprietor?:No
Enumeration Date:2016-09-23
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9109941363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant