Provider Demographics
NPI:1811417496
Name:GARCON, MICHELET (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHELET
Middle Name:
Last Name:GARCON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 MISTY OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-6812
Mailing Address - Country:US
Mailing Address - Phone:561-572-6602
Mailing Address - Fax:
Practice Address - Street 1:2810 MISTY OAKS CIR
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-6812
Practice Address - Country:US
Practice Address - Phone:561-572-6602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty