Individual ProviderMichael DanglInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1611 NW 12th Ave, Miami, FL 33136-1005(813) 484-6697PECOS EnrollmentBased on the most recent information from CMS, provider Michael Dangl is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1164059846Provider TypeIndividualFull NameDangl, MichaelCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/24/2020Last Updated4/16/2023Contact InformationPractice LocationPractice Address1611 NW 12th Ave, Miami, FL 33136-1005Phone(813) 484-6697FaxUnlisted FaxMailing LocationMailing Address100 Andalusia Ave Apt 214, Coral Gables, FL 33134-6109PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME161221FloridaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer