Provider Demographics
NPI:1255753364
Name:MICHAELS, JULIET JANET (DC)
Entity type:Individual
Prefix:MRS
First Name:JULIET
Middle Name:JANET
Last Name:MICHAELS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 S DILLARD ST
Mailing Address - Street 2:STE 230
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-3596
Mailing Address - Country:US
Mailing Address - Phone:321-207-8507
Mailing Address - Fax:321-473-3426
Practice Address - Street 1:213 S DILLARD ST
Practice Address - Street 2:STE 230
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-3596
Practice Address - Country:US
Practice Address - Phone:407-347-5953
Practice Address - Fax:407-614-5911
Is Sole Proprietor?:No
Enumeration Date:2014-01-08
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 11090111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor