Individual
HIMA MIKKILINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2111 SW 20TH PL, OCALA, FL 34471-7734
(352) 622-4251
(352) 622-0102
Mailing address
2111 SW 20TH PL, OCALA, FL 34471-7734
(352) 622-4251
(352) 622-0102
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME105449
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009088100
—
FL
01
—
CP493Z
MEDICARE
FL
Enumeration date
07/14/2008
Last updated
03/18/2016
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