Provider Demographics
NPI:1841462108
Name:MICHELLE ESTY
Entity type:Organization
Organization Name:MICHELLE ESTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ESTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-353-5764
Mailing Address - Street 1:376 CIMARRON CT
Mailing Address - Street 2:
Mailing Address - City:POINCIANA
Mailing Address - State:FL
Mailing Address - Zip Code:34759-5954
Mailing Address - Country:US
Mailing Address - Phone:863-353-5764
Mailing Address - Fax:
Practice Address - Street 1:376 CIMARRON CT
Practice Address - Street 2:
Practice Address - City:POINCIANA
Practice Address - State:FL
Practice Address - Zip Code:34759-5954
Practice Address - Country:US
Practice Address - Phone:863-353-5764
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL230450251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health