Provider Demographics
NPI:1790575553
Name:CONSTANTINE, MICHAEL P (ND)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:P
Last Name:CONSTANTINE
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:337 COLONIAL RD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-4335
Mailing Address - Country:US
Mailing Address - Phone:561-602-6352
Mailing Address - Fax:561-533-6725
Practice Address - Street 1:2290 10TH AVE N STE 104
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-6609
Practice Address - Country:US
Practice Address - Phone:561-540-1429
Practice Address - Fax:561-533-6725
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR000834175F00000X
CT000754175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath