| Dr Michelle Lynnette Hall, MD | |
|
960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 | |
| (407) 934-4100 | |
| (407) 934-4101 |
| Full Name | Dr Michelle Lynnette Hall |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 960 Back Stage Ln, Lake Buena Vista, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558741686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME136536 (Florida) | Primary |
| 207Q00000X | Family Medicine | 000000000000 (Missouri) | Secondary |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michelle Lynnette Hall, MD 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 Ph: (407) 934-4100 | Dr Michelle Lynnette Hall, MD 960 Back Stage Ln, Lake Buena Vista, FL 32830-8472 Ph: (407) 934-4100 |
Michael Wayne Hankins, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 950 Backstage Lane, Lake Buena Vista, FL 32830 Phone: 407-390-5572 | |
Dr. Jeffrey Thomas Nelson, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 960 Back Stage Ln, Lake Buena Vista, FL 32830 Phone: 407-934-4100 Fax: 407-934-4101 | |
Dr. Boris Fabricio Onate, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 960 Back Stage Lane, Lake Buena Vista, FL 32830 Phone: 407-934-4100 Fax: 407-934-4101 | |
Steven Vonsee, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 950 Backstage Lane, Lake Buena Vista, FL 32830 Phone: 407-560-7005 |