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

Michel-Ange Edouard Destine

Individual provider Surgical Assistant · NPI 1255100061

Michel-Ange Edouard Destine is a Surgical Assistant in Oakland Park, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023
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Practice location Address checks out

4513 NW 31st Ave
Oakland Park, FL 33309-3403
Phone: (202) 855-1545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 23-733 (FL)

Record details

NPI number1255100061
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 21, 2023
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023

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