Individual provider · NPI-1

Dr. Michael Bischof

Emergency Medicine · Orange Park, FL

NPI number1316406184
StatusActive
Last updated in NPPESJun 3, 2022

Details

NPI
1316406184
Entity type
Individual (NPI-1)
Name
Dr. Michael Bischof
Sex
Male
Sole proprietor
No
Enumeration date
Mar 19, 2019
Certification date
Mar 20, 2022
Last updated
Jun 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineDO.2919ALYes
390200000X Student in an Organized Health Care Education/Training Program––
207P00000X Emergency MedicineOS17865FL
207P00000X Emergency Medicine89798GA

Practice location

2001 Kingsley Ave
Orange Park, FL 32073-5148

Phone 904-639-2000

Mailing address

2001 Kingsley Ave
Orange Park, FL 32073-5148

Phone 904-639-2000

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