Michael Andrew Humphrey in Lady Lake - Physician Assistant

Michael Andrew Humphrey - NPI 1164526737

Michael Andrew Humphrey is a Physician Assistant in Lady Lake, Florida. Michael Andrew Humphrey practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael Andrew Humphrey is 1164526737. The last update date is 2020-02-13.

Michael Andrew Humphrey's current location address is 805 E County Road 466, Lady Lake, Florida. You can contact this provider via phone number 3526749218 and fax number 3522596069. The mailing address for Michael Andrew Humphrey is 805 E County Road 466, Lady Lake, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Andrew Humphrey
Address 805 E County Road 466, Lady Lake, Florida
Phone Number 3526749218
Fax Number 3522596069
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1164526737
Provider Enumeration Date 2006-09-12
Last Updated Date 2020-02-13

Provider Mailing Address Detail

Address 805 E County Road 466
City Lady Lake
State Florida (FL)
Post Code 32159
Phone Number 3526749218
Fax Number 3522596069

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA9103795
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
292865500 FL --

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FAQs about Michael Andrew Humphrey

What is the Michael Andrew Humphrey's 1164526737?

The Michael Andrew Humphrey's NPI (National Provider Identifier) Number is 1164526737. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Michael Andrew Humphrey's facilities are situated?

The facilities of Michael Andrew Humphrey are physically located at the following address: 805 E County Road 466, Lady Lake, FL, 32159.

What is Michael Andrew Humphrey's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Michael Andrew Humphrey is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

When did the Michael Andrew Humphrey receive its 1164526737?

The Michael Andrew Humphrey was issued its 1164526737 on 2006-09-12, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Michael Andrew Humphrey last refreshed?

The information related to the Michael Andrew Humphrey, including its address, specialty, and other relevant details, was last updated on 2020-02-13.

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