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Contact Information

MICHELLE KOO, DPM
4302 ALTON RD STE 300
MIAMI BEACH, FL33140-2818
 Phone: 305-672-9989
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot

213ES0131X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MICHELLE KOO · (Female)

NPI # 1578629770
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 12/29/2006
Last updated 06/09/2025 - About 12 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PO 3281
  • NV License # 2002
  • FL Medicaid 340656300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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