Micheline G Petit, FNP
Nurse Practitioner, Family in Palm Springs, FL. Individual provider (NPI-1).
NPI number1942944293
StatusActive
Last updated in NPPESOct 15, 2024
Details
- NPI
- 1942944293
- Entity type
- Individual (NPI-1)
- Name
- Micheline G Petit
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2022
- Certification date
- Oct 15, 2024
- Last updated
- Oct 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11019296 | FL | Yes |
| 207Q00000X | Family Medicine | 11019296 | FL |
Practice location
1630 S Congress Ave Ste 200Palm Springs, FL 33461-2171
Phone 561-253-3980 · Fax 561-253-3985
Mailing address
Po Box 160748Altamonte Springs, FL 32716-0748
Phone 561-561-2533 · Fax 561-253-3985
Other practice locations
14437 68th St N
Loxahatchee, FL 33470-4598
Loxahatchee, FL 33470-4598
Phone 561-225-8177
11621 Kew Gardens Ave Ste 101a
Palm Beach Gardens, FL 33410-2853
Palm Beach Gardens, FL 33410-2853
Phone 561-253-3980 · Fax 561-253-3985
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