Individual
CHARLOTTE SOPHIA MIKULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2280 LONG SPUR, ODESSA, FL 33556-4055
(813) 300-2882
Mailing address
2280 LONG SPUR, ODESSA, FL 33556-4055
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9289954
FL
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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