Provider Demographics
NPI:1013951201
Name:MICHAELS, EMIL I (MD)
Entity type:Individual
Prefix:
First Name:EMIL
Middle Name:I
Last Name:MICHAELS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:EMIL
Other - Middle Name:IGNATOV
Other - Last Name:MIHAYLOV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13001 SOUTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-9203
Mailing Address - Country:US
Mailing Address - Phone:561-798-6092
Mailing Address - Fax:561-753-4241
Practice Address - Street 1:13001 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-9203
Practice Address - Country:US
Practice Address - Phone:561-798-6092
Practice Address - Fax:561-753-4241
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME145888207L00000X
NY246615207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02148676Medicaid
NYG400000341Medicare PIN
NY02148676Medicaid
NYH32253Medicare UPIN