Provider Demographics
NPI:1740546837
Name:MICHAELS, MARK STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:STEVEN
Last Name:MICHAELS
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Gender:
Credentials:MD
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Mailing Address - Street 1:PO BOX 100237
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0237
Mailing Address - Country:US
Mailing Address - Phone:352-392-4541
Mailing Address - Fax:352-294-8519
Practice Address - Street 1:304 ASHOURIAN AVE STE 105
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32092-5110
Practice Address - Country:US
Practice Address - Phone:904-819-1006
Practice Address - Fax:904-819-1008
Is Sole Proprietor?:No
Enumeration Date:2012-04-03
Last Update Date:2025-04-09
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Provider Licenses
StateLicense IDTaxonomies
FLME150948207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine