Provider Demographics
NPI:1265989370
Name:STOPPI, MICHELLE BETH (LMT)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:BETH
Last Name:STOPPI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7721 MIAMI VIEW DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4038
Mailing Address - Country:US
Mailing Address - Phone:305-502-5525
Mailing Address - Fax:
Practice Address - Street 1:7721 MIAMI VIEW DR
Practice Address - Street 2:
Practice Address - City:NORTH BAY VILLAGE
Practice Address - State:FL
Practice Address - Zip Code:33141-4038
Practice Address - Country:US
Practice Address - Phone:305-502-5525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA41678174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist