Organization
PAUL J MISKE PH D LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J MISKE PH D (OWNER)
(239) 242-0588
Entity
Organization
Contact information
Practice address
916 EL DORADO PKWY W, CAPE CORAL, FL 33914-7251
(239) 242-0588
(239) 242-9945
Mailing address
2045 SE 28TH ST, CAPE CORAL, FL 33904-3284
(239) 242-0588
(239) 242-9945
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 6267
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54611
BCBC OF FL PROVIDER NUMBE
DC
Enumeration date
01/26/2007
Last updated
10/15/2007
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