Most Relevant Information
Provider Data
| NPI Number: | 1003018508 |
| Provider Name: | JON PAUL MICHELINI MS, ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | AL3772 |
Most Important Dates
| Enumeration Date: | 06/05/2007 |
| Last Updated: | 12/11/2014 |
Provider Practice Location
121 GALE LEMERAND DRIVE
UNIVERSITY ATHLETIC ASSOCIATION
GAINESVILLE
FL
326042485
Practice Location Phone/Fax
| Phone: | 3526926430 |
| Fax: |
Provider Mailing Location
7932 SW 82ND DR
GAINESVILLE
FL
326089532
Provider Mailing Phone/Fax
| Phone: | 3526926430 |
| Fax: |