Individual
MIKEL JAMES MINEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
9320 STATE ROAD 54, TRINITY, FL 34655-1808
(727) 842-8411
(877) 917-2336
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11024985
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11024985
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117575000
—
FL
Enumeration date
03/01/2023
Last updated
04/12/2024
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