Michelle S Avalos, MD
Family Medicine in Brooksville, FL. Individual provider (NPI-1).
NPI number1912585456
StatusActive
Last updated in NPPESJul 14, 2024
Details
- NPI
- 1912585456
- Entity type
- Individual (NPI-1)
- Name
- Michelle S Avalos
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2021
- Certification date
- Jul 14, 2024
- Last updated
- Jul 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME167569 | FL | Yes |
Practice location
11375 Cortez BlvdBrooksville, FL 34613-5409
Phone 352-596-6632
Mailing address
11375 Cortez BlvdBrooksville, FL 34613-5409
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