Most Relevant Information
Provider Data
| NPI Number: | 1003414665 |
| Provider Name: | MICHAEL CLIFFORD HURWITZ |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: | 171240123 |
Most Important Dates
| Enumeration Date: | 10/15/2020 |
| Last Updated: | 10/15/2020 |
Provider Practice Location
1761 NIGHTINGALE LN
TAVARES
FL
327784315
Practice Location Phone/Fax
| Phone: | 3522535100 |
| Fax: | 3522535140 |
Provider Mailing Location
1761 NIGHTINGALE LN
TAVARES
FL
327784315
Provider Mailing Phone/Fax
| Phone: | 3522535100 |
| Fax: | 3522535140 |