NPI 1124989686

Kimberly Marino-Micheel, DOMLACAPDIPLRN

Practitioner Integrative Medicine Physician Englewood, FL

Practice location

Address: 630 N Indiana Ave, Englewood, FL 34223-2728
Phone: (941) 812-0777
Mailing address: 1970 Forked Creek Dr, Englewood, FL 34223-1710

Registered specialties

Integrative Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202D00000X Licence L.AC4693 (FL)

Other Integrative Medicine providers in Florida →

Registry record

NPI: 1124989686
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Nov 2025
Record last updated: 22 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.