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1639344914
MIKHAILIA WANAKEE LAKE
FORT MYERS, FL
NPI
1639344914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: FL ME 112403)
Enumeration Date
2008-04-28
Last Update Date
2021-03-29
Business Address
MIKHAILIA WANAKEE LAKE MD
8960 COLONIAL CENTER DR SUITE 302
FORT MYERS, FL 33905-7810
Phone number: 239-343-9700
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Mailing Address
MIKHAILIA WANAKEE LAKE MD
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-9700
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