| Michael L Douglas, DC | |
|
4140 Nw 12th St, Lauderhill, FL 33313-5816 | |
| (954) 739-3331 | |
| (954) 792-4520 |
| Full Name | Michael L Douglas |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 4140 Nw 12th St, Lauderhill, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407853088 | NPI | - | NPPES |
| 380472100 | Medicaid | FL | |
| 70861 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH5191 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L Douglas, DC 4140 Nw 12th St, Lauderhill, FL 33313-5816 Ph: (954) 739-3331 | Michael L Douglas, DC 4140 Nw 12th St, Lauderhill, FL 33313-5816 Ph: (954) 739-3331 |
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