IndividualActive
Kimberly Marino-Micheel, DOM,LAC,AP,DIPL,RN
NPI 1124989686 · Integrative Medicine Physician · Englewood, FL
Provider details
- NPI number
- 1124989686
- Entity type
- Individual
- Primary specialty
- Integrative Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DOM,LAC,AP,DIPL,RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- L.AC4693 (FL)
Mailing address
1970 Forked Creek Dr
Englewood, FL 34223-1710
Registry dates
- Enumerated
- 2025-11-22
- Last updated
- 2025-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.