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NPI Code Detail

MEDICARE: ANDREW MIKULASCHEK MD

MEDICARE:   ANDREW  MIKULASCHEK  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0127XTrauma Surgery PhysicianME0078479FL

Other Identifiers

General Provider Information

NPI Number : 1134118060
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW MIKULASCHEK MD
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-424-1400
Fax Number : 239-424-1421
Provider Business Practice Location Address
First Line : 2780 CLEVELAND AVE
Second Line : SUITE 702
City : FORT MYERS
State : FL
Zip : 33901-5858
Country : US
Telephone Number : 239-332-6474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 10/31/2008

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Directions to “ ANDREW MIKULASCHEK MD” Practice Location

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