Provider Demographics
NPI:1821072497
Name:MUHART, MICHELLE ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ELIZABETH
Last Name:MUHART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5053 S CONGRESS AVE
Mailing Address - Street 2:STE 204
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33461
Mailing Address - Country:US
Mailing Address - Phone:561-969-7300
Mailing Address - Fax:561-969-6922
Practice Address - Street 1:5053 S CONGRESS AVE
Practice Address - Street 2:STE 204
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33461
Practice Address - Country:US
Practice Address - Phone:561-969-7300
Practice Address - Fax:561-969-6922
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0073505207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME0073505OtherME #
FLP00038854OtherMEDICARE RAILROAD
FL41697XOtherBLUE CROSS
FLME0073505OtherME #
FLP00038854OtherMEDICARE RAILROAD