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

Michael W Sistare, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902307564

Michael W Sistare, DO is a Student in an Organized Health Care Education/Training Program in South Miami, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

7031 SW 62nd Ave
South Miami, FL 33143-4701
Phone: (305) 284-7761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence OS20400 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902307564
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 27, 2018
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023
Mailing address2442 Jack McKinney Rd, Rutherfordton, NC 28139-7788

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