Provider Demographics
NPI:1891842076
Name:ENGLAND, MICHAEL
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:ENGLAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 ROSERY RD NE
Mailing Address - Street 2:APT. 4306
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-3800
Mailing Address - Country:US
Mailing Address - Phone:727-586-5282
Mailing Address - Fax:
Practice Address - Street 1:4356 66TH ST N
Practice Address - Street 2:
Practice Address - City:KENNETH CITY
Practice Address - State:FL
Practice Address - Zip Code:33709-4920
Practice Address - Country:US
Practice Address - Phone:727-546-4700
Practice Address - Fax:727-549-8108
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL7842255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer