Individual ProviderMichele MaholtzInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3725 12th Ct, Suite A, Vero Beach, FL 32960-6543(772) 567-0081PECOS EnrollmentBased on the most recent information from CMS, provider Michele Maholtz 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 ID1205807161Provider TypeIndividualFull NameMaholtz, MicheleCredentialMDGenderFemaleSole ProprietorYesEnumeration Date1/30/2006Last Updated8/29/2014Contact InformationPractice LocationPractice Address3725 12th Ct, Suite A, Vero Beach, FL 32960-6543Phone(772) 567-0081FaxUnlisted FaxMailing LocationMailing Address3725 12th Ct, Suite A, Vero Beach, FL 32960-6543Phone(772) 567-0081Fax(772) 567-5561Provider TaxonomiesCodeDescriptionLicenseCode207RP1001XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME64054FloridaProvider IdentifiersIDDescriptionIssuerIDME64054DescriptionOtherIssuerSTATE LICENSEFlorida