Healthcare Provider Details

I. General information

NPI: 1750293270
Provider Name (Legal Business Name): MIRKA POSPISIL RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PINELLAS ST
CLEARWATER FL
33756-3892
US

IV. Provider business mailing address

2868 ST CROIX DR
CLEARWATER FL
33759-2016
US

V. Phone/Fax

Practice location:
  • Phone: 727-461-8453
  • Fax:
Mailing address:
  • Phone: 727-461-8453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number9309551
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: