Provider Demographics
NPI:1013506344
Name:MICHEL, JOHANNIE CLAUDE-FRANCOIS (PA-C)
Entity Type:Individual
Prefix:MS
First Name:JOHANNIE
Middle Name:CLAUDE-FRANCOIS
Last Name:MICHEL
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:931 NE 158TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-5305
Mailing Address - Country:US
Mailing Address - Phone:305-610-1353
Mailing Address - Fax:
Practice Address - Street 1:2700 W CYPRESS CREEK RD STE C100
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1741
Practice Address - Country:US
Practice Address - Phone:954-974-3111
Practice Address - Fax:954-974-6191
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-12
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9113782363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant