Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Marino-Micheel, DOM, LAC, AP, DIPL

Individual provider Integrative Medicine Physician · NPI 1124989686

Kimberly Marino-Micheel, DOM, LAC, AP, DIPL is an Integrative Medicine Physician in Englewood, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

See every abbreviation used in this directory →

Practice location Address checks out

630 N Indiana Ave
Englewood, FL 34223-2728
Phone: (941) 812-0777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Integrative Medicine Physician (primary) Taxonomy 202D00000X · Licence L.AC4693 (FL)

Record details

NPI number1124989686
Entity typeIndividual (Type 1)
GenderFemale
Credentials DOM , LAC , AP , DIPL
Sole proprietorYes
NPI enumeratedNovember 22, 2025
Last updated in NPPESNovember 22, 2025
Certification dateNovember 22, 2025