Provider Demographics
NPI:1184375388
Name:MICHEL, JEAN CLAUDE (DC)
Entity type:Individual
Prefix:DR
First Name:JEAN CLAUDE
Middle Name:
Last Name:MICHEL
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 1:2121 WEST OAKLAND PARK BLVD UNIT 1
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33311-1819
Mailing Address - Country:US
Mailing Address - Phone:954-368-3402
Mailing Address - Fax:
Practice Address - Street 1:2121 WEST OAKLAND PARK BLVD UNIT 1
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33311-1819
Practice Address - Country:US
Practice Address - Phone:954-368-3402
Practice Address - Fax:954-990-6199
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13840111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation