Michael J Funk PHD

NPI 1407918253 - Psychologist - 103TC0700X

NPI Details
NPI 1407918253
Gender Male
Enumeration Date 12/15/2006
Last Updated 10/04/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
171 HOOD AVE
SUITE 10
TAVERNIER FL, 33070-2645, US
Phone (305) 853-3284
Fax
Business Location
PO BOX 1074
TAVERNIER FL, 33070-1074, US
Phone (305) 393-3544
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Florida
License Number PY3550
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According to our database, Dr. Michael J Funk PHD NPI is 1407918253, taxonomy code is 103TC0700X and license number is PY3550, license state is located at Florida. Michael J Funk PHD physically located at 171 Hood Ave, Tavernier FL, 33070-2645. NPI Number Michael J Funk PHD has the Individual type.

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1407918253 NPI number is provided on an as is basis without warranty of any kind. 1407918253 is maintained by the National Plan & Provider Enumeration System. The contents of Michael J Funk PHD are for informational purposes only.