DR. MICHELLE DIANE DETWEILER (NPI# 1447343033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447343033 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE DIANE DETWEILER |
| Credential | D.P.M. |
| Practice Address |
4302 Alton Rd Suite 1005 Miami Beach FL 33140-2890 |
| Mailing Address |
8200 Nw 27th St Ste108 Doral FL 33122-1906 |
| Practice Telephone | 3056730033 |
| Practice Fax Number | 3055341854 |
| Mailing Telephone | 7866623893 |
| Mailing Fax Number | 7866623899 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
PO2403 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 390194700 | 05 |
| Street Address |
4302 ALTON RD SUITE 1005 |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33140-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023011970 | Ralph G Nader | Specialist | 4302 Alton Rd, Ste 220, Miami Beach, FL 33140-2891 | 2005-05-24 |
| 1679007546 | Lynhdiem Bui | Physician Assistant | 4302 Alton Rd, Suite 810, Miami Beach, FL 33140-2891 | 2017-04-17 |
| 1962941310 | Samantha Lehmann | Physician Assistant | 4302 Alton Rd, Suite 760, Miami Beach, FL 33140-2891 | 2017-02-17 |
| 1194170852 | Peritoneal Dialysis Center Inc | Clinic/Center | 4302 Alton Rd, Suite 400, Miami Beach, FL 33140-2891 | 2016-05-02 |
| 1881063493 | Viviana Andrea Martinez Galvis | Audiologist | 4302 Alton Rd, Suite 115, Miami Beach, FL 33140-2891 | 2015-09-24 |
| 1437549276 | Andrea Gold Schein | Internal Medicine | 4302 Alton Rd, Miami Beach, FL 33140-2891 | 2015-02-02 |
| 1568852549 | Danielle Duquesnay | Physician Assistant | 4302 Alton Rd, Suite 830, Miami Beach, FL 33140-2891 | 2015-01-29 |
| 1568851921 | Five Star Medical Center, Copr | Internal Medicine | 4302 Alton Rd, Suite 900, Miami Beach, FL 33140-2891 | 2015-01-22 |
| 1174921480 | Elite Health Mso, LLC | Internal Medicine | 4302 Alton Rd, Suite 300, Miami Beach, FL 33140-2891 | 2014-12-18 |
| 1720484447 | Erik Bustillo | Dietitian, Registered | 4302 Alton Rd, Suite 300, Miami Beach, FL 33140-2891 | 2014-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310660 | Melanee Beth Leventhal | Registered Nurse | 4101 Pine Tree Drive,unit1507, Miami Beach, FL 33140 | 2020-06-08 |
| 1720555121 | Yuleima Placencia Gonzalez | Nurse Practitioner | 4308 Alton Road. Suite 620, Miami Beach, FL 33140 | 2018-10-24 |
| 1922587641 | Catherine A Prendiville | Social Worker | 975 Arthur Godfrey Rd, Suite 302, Miami Beach, FL 33140 | 2018-08-13 |
| 1346768991 | Eddy Montesino | Specialist/Technologist, Other | 4300 Alton Rd, Miami Beach, Miami, FL 33140 | 2017-09-05 |
| 1417477316 | Salud Pack Inc | Durable Medical Equipment & Medical Supplies | 5401 Collins Ave Suite Cu9, Miami Beach, FL 33140 | 2017-06-21 |
| 1205371580 | Sindy Ruiz | Behavior Technician | 5333 Collins Ave Apt.1102, Miami Beach, FL 33140 | 2016-12-22 |
| 1841655594 | Sofl Physicians Group LLC | Nutritionist | 4045 Sheridan Ave. #236, Miami Beach, FL 33140 | 2015-12-23 |
| 1174908982 | Merlyn Josende | Counselor | 5880 Collins Ave., #904, Miami Beach, FL 33140 | 2015-07-22 |
| 1720320955 | Nicholas Santiago Camps | Internal Medicine | 4302 Alton Rd Ste 670, Miami Beach, FL 33140 | 2013-03-26 |
| 1508102443 | Brenda Klepack | Counselor | 4701 N. Meridian, # 403522, Miamia Beach, FL 33140 | 2012-12-21 |
| Find all providers in zip 33140 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264826 | Upperline Healthcare, PC | Podiatrist | 819 E Oak St Ste B, Kissimmee, FL 34744-5842 | 2020-07-31 |
| 1801406236 | Upperline Healthcare, PC | Podiatrist | 499 E Central Pkwy Ste 120, Altamonte Springs, FL 32701-3449 | 2020-07-31 |
| 1841800281 | Upperline Healthcare, PC | Podiatrist | 7148 Curry Ford Rd Ste 300, Orlando, FL 32822-5803 | 2020-07-31 |
| 1497365829 | Upperline Healthcare, PC | Podiatrist | 6000 Turkey Lake Rd Ste 108, Orlando, FL 32819-4205 | 2020-07-31 |
| 1427668854 | Upperline Healthcare, PC | Podiatrist | 1381 Citrus Tower Blvd Ste 103, Clermont, FL 34711-1957 | 2020-07-31 |
| 1639654148 | Kenneth Shapiro | Podiatrist | 7209 Promenade Dr Apt 601, Boca Raton, FL 33433-2809 | 2018-10-01 |
| 1558872549 | Edward Nathan Szerlip | Podiatrist | 11960 Northwest 26 Street, Plantation, FL 33323-3332 | 2017-10-17 |
| 1174903686 | Maria Lilia Fundora Cabrera | Podiatrist | 1380 Ne Miami Gardens Dr 209, Miami, FL 33179-4709 | 2015-06-01 |
| 1285027599 | Naples Podiatry | Podiatrist | 4763 Tamiami Trail North, Naples, FL 34103 | 2015-03-11 |
| 1548667314 | Louis Joseph Falletta | Podiatrist | 410 Se 28th Ave, Pompano Beach, FL 33062-6130 | 2014-11-22 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI BEACH |
| Zip Code | 33140 |
Please comment or provide details below to improve the information on DR. MICHELLE DIANE DETWEILER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.