Individual
DR. CAROL L BLOOMQUIST MIKULKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
214 TYREE LN, WINTER PARK, FL 32792-4135
(407) 645-3777
(407) 645-1123
Mailing address
214 TYREE LN, WINTER PARK, FL 32792-4135
(407) 645-3777
(407) 645-1123
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME50632
FL
Other
Enumeration date
07/05/2006
Last updated
04/10/2023
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