Provider Demographics
NPI:1184624355
Name:TINDEL, MICHAEL B (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:B
Last Name:TINDEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19485 SATURNIA LAKES DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-6207
Mailing Address - Country:US
Mailing Address - Phone:917-575-7784
Mailing Address - Fax:561-910-1800
Practice Address - Street 1:6200 ATLANTIC AVE STE 100
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-3506
Practice Address - Country:US
Practice Address - Phone:561-403-5783
Practice Address - Fax:561-910-1800
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME103122207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5446807OtherCIGNA HEALTHCARE
FL4205990OtherAETNA
FL001650600Medicaid
FL146SSOtherBCBS OF FLORIDA
FLCQ839ZMedicare PIN
FLD92213Medicare UPIN