Individual
MRS. MILOSLAVA SOUCKOVA MICIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3619 W WATERS AVENUE, TAMPA, FL 33614
(813) 932-8866
(813) 932-9668
Mailing address
3619 W WATERS AVENUE, TAMPA, FL 33614
(813) 932-8866
(813) 932-9668
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
ME0029781
FL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
ME0029781
FL
208600000X
Surgery Physician
ME0029781
FL
2086S0120X
Pediatric Surgery Physician
ME0029781
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
ME0029781
FL
2086S0127X
Trauma Surgery Physician
ME0029781
FL
Other
Enumeration date
09/29/2006
Last updated
09/11/2025
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