Active NPIIndividual provider

Dylan J Carmichael, DO

Colon & Rectal Surgery in Port Saint Lucie, Florida

NPI Number1679102941
Practice location
900 SE Becker RD, Port Saint Lucie, FL 34984-6641
Fax
772-621-2935
Last updated
June 2, 2026

Dylan Joseph Carmichael is a Colon & Rectal Surgery based in Port Saint Lucie, FL. Dylan Joseph Carmichael practices in Port Saint Lucie, FL and has the professional credentials of DO. The NPI Number for Dylan Joseph Carmichael is 1679102941 and holds a License No. OS23592 (FL). The current practice location address for Dylan Joseph Carmichael is 900 SE Becker RD, Port Saint Lucie, FL 34984-6641 and can be reached out via phone at 772-800-5110 and via fax at 772-621-2935.

Provider Profile Details

NPI Number
1679102941
Provider Name
Dylan Joseph Carmichael
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
900 SE Becker RD, Port Saint Lucie, FL 34984-6641
Phone Number
772-800-5110
Fax Number
772-621-2935
Primary Taxonomy
Colon & Rectal Surgery · 208C00000X
Sole Proprietor
No
Provider Enumeration Date
April 7, 2020
Last Update Date
June 2, 2026
Certification Date
June 2, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
900 SE Becker RD
Port Saint Lucie, FL 34984-6641
State
Florida
Zip
34984-6641
Phone Number
772-800-5110
Fax Number
772-621-2935
Port Saint Lucie, FL 34984Get directions →

Provider Business Mailing Address Details

Address
Po Box 20800
Belfast, ME 04915-4105
City
Belfast
State
ME
Zip
04915-4105
Phone Number
888-402-7256
Fax Number
888-402-1099

License Information

License State (1)
PA
License Number (2)
OS23592
License State (2)
FL
Taxonomy (2)
Colon & Rectal Surgery · 208C00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dylan J Carmichael, DO?

The NPI number of Dylan J Carmichael, DO is 1679102941. It was assigned on April 7, 2020 and is currently active in the NPPES registry.

What is the specialty of Dylan J Carmichael, DO?

Dylan J Carmichael, DO is registered under the primary taxonomy Colon & Rectal Surgery (code 208C00000X), licensed in FL under license number OS23592.

Where does Dylan J Carmichael, DO practice?

The practice location is 900 SE Becker RD, Port Saint Lucie, FL 34984-6641. The office can be reached at 772-800-5110 (phone) or 772-621-2935 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679102941 directly on the NPPES registry website.

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