Individual
DR. MICHAEL R MIKOLAJCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10115 FOREST HILL BLVD STE 102, WELLINGTON, FL 33414-6178
(561) 670-2010
(561) 670-2319
Mailing address
10115 FOREST HILL BLVD STE 102, WELLINGTON, FL 33414-6178
(561) 670-2010
(561) 670-2319
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
OS5531
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
OS5531
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255341400
—
FL
Enumeration date
11/18/2005
Last updated
01/15/2024
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