Individual
ANDREW MIKULASCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2780 CLEVELAND AVE, SUITE 702, FORT MYERS, FL 33901-5858
(239) 332-6474
Mailing address
PO BOX 2147, FT MYERS, FL 33902-2147
(239) 424-1400
(239) 424-1421
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
ME0078479
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256900100
—
FL
Enumeration date
10/13/2005
Last updated
10/31/2008
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