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1750365573
MARK MIKULAK
TAMPA, FL
NPI
1750365573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL ARNP917397)
Enumeration Date
2005-12-05
Last Update Date
2008-06-17
Business Address
-- MARK MIKULAK CRNA
2901 W SWANN AVE
TAMPA, FL 33609-4056
Phone number: 913-754-0467
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Mailing Address
-- MARK MIKULAK CRNA
PO BOX 862506
ORLANDO, FL 32886-2506
Phone number: 913-754-0467
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