Individual
MIKEL JAMES MINEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
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
Update your record
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