| Doctor Name: | MS. MICHELE R MUSKUS |
| NPI Number: | 1093741845 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 1713562 |
| Business Practice Address: | 274 3rd Ave S Jacksonville Beach, FL - 322506727 |
| Business Phone Number: | 9042493373 |
| Business Fax Number: | 9042493371 |
| Mailing Address: | 274 3rd Ave S, JACKSONVILLE BEACH |
| State: | FL |
| Postal Code: | 322506727 |
| Phone Number: | 9042493373 |
| Fax Number: | 9042493371 |
| NPI Enumeration Date: | 06/23/2006 |
| NPI Last Update Date: | 01/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 1713562 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |