# DR. MARIA MIKOLAENKO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063824761
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 66720 | CT | Yes |
| 207QA0505X | Adult Medicine Physician | OS15147 | FL | — |

## Other

- **Enumeration date:** 05/29/2014
- **Last updated:** 10/02/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | OS15147 | STATE LICENSE | FL |