Individual
STANLEY MICHAEL MIKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1511 SW 1ST AVE, OCALA, FL 34471-6505
(352) 867-8311
(352) 867-1053
Mailing address
PO BOX 3130, OCALA, FL 34478-3130
(352) 867-8311
(352) 867-1053
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS6211
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255949800
—
FL
01
—
80582
BCBS FL
FL
Enumeration date
06/19/2006
Last updated
08/04/2011
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