1. Home
  2. Directory
  3. Florida
  4. Oakland Park
  5. Specialist Technologist Other
  6. NPI Profile

MICHEL-ANGE EDOUARD DESTINE
NPI 1255100061
Specialist/Technologist, Other - Surgical Assistant in Oakland Park, FL

Active since December 21, 2023
4513 NW 31ST AVE, OAKLAND PARK, FL 33309(202) 855-1545 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michel-ange Edouard Destine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHEL-ANGE EDOUARD DESTINE (NPI 1255100061) is an individual surgical assistant in Oakland Park, Florida, licensed in Florida (23-733) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1255100061
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameMICHEL-ANGE EDOUARD DESTINE
Location Address4513 NW 31ST AVEOakland Park, FL 33309-3403
Mailing Address4513 Nw 31st AveOakland Park, FL 33309-3403 · (202) 855-1545
Phone(202) 855-1545
Sole ProprietorNo
Enumeration DateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1255100061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in FL · 23-733
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
4513 NW 31ST AVE, Oakland Park, FL 33309
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANIYAMMA JOSEPH DNP, FNP-BC
Nurse Practitioner (Family)
4513 NW 31ST AVE
OAKLAND PARK, FL 33309
Broward County (954) 440-0983
MEDM LLC
Clinic/Center (Multi-Specialty)
4513 NW 31ST AVE
OAKLAND PARK, FL 33309
Broward County (954) 824-2027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michel-ange Destine's NPI number?

The NPI number for Michel-ange Destine is 1255100061. It was assigned to this individual provider in the NPPES registry on December 21, 2023.

Where is Michel-ange Destine located?

Michel-ange Destine practices at 4513 NW 31st Ave, Oakland Park, FL 33309. The listed phone number is (202) 855-1545.

What is Michel-ange Destine's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Michel-ange Destine was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.