Provider Demographics
NPI:1295757904
Name:CREAMER, MICHAEL JOSEPH (DO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:CREAMER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:100 WEST GORE STEET
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1041
Mailing Address - Country:US
Mailing Address - Phone:407-649-8707
Mailing Address - Fax:407-649-8373
Practice Address - Street 1:100 WEST GORE STEET
Practice Address - Street 2:SUITE 500
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1041
Practice Address - Country:US
Practice Address - Phone:407-649-8707
Practice Address - Fax:407-649-8373
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2010-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL056307208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL371275300Medicaid
FL371275300Medicaid
FL80698YMedicare PIN