Individual
DR. CHRISTOPHER REGAR MICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 PINELLAS ST, SUITE 325, CLEARWATER, FL 33756-3312
(727) 298-6121
(727) 533-5903
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4943
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
OS10561
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001440400
—
FL
01
—
P00737110
RAILROAD MEDICARE PROVIDER NUMBER
FL
Enumeration date
04/13/2009
Last updated
06/27/2016
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