MARK MIKULAK

TAMPA, FL
NPI1750365573
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  ARNP917397)
Enumeration Date2005-12-05
Last Update Date2008-06-17
Business Address
-- MARK MIKULAK CRNA
2901 W SWANN AVE
TAMPA, FL 33609-4056
Phone number: 913-754-0467
Mailing Address
-- MARK MIKULAK CRNA
PO BOX 862506
ORLANDO, FL 32886-2506
Phone number: 913-754-0467
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