| Doctor Name: | MRS. MICHELLE LIGONDE-MERISIO |
| NPI Number: | 1023109931 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP-BC |
| License Number: | 9209369 |
| Business Practice Address: | 200 Nw 7th Ave Fort Lauderdale, FL - 333119026 |
| Business Phone Number: | 9547596600 |
| Business Fax Number: | 9547596665 |
| Mailing Address: | 1608 Se 3rd Ave, Third Floor Cbo/pbs FORT LAUDERDALE |
| State: | FL |
| Postal Code: | 333162564 |
| Phone Number: | 9548474572 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 05/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 9209369 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |