Individual
DR. MARK MICHNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 NE 167TH ST, N MIAMI BEACH, FL 33162-3402
(786) 300-7330
(772) 264-8106
Mailing address
101 RIVERFRONT BLVD STE 710, BRADENTON, FL 34205-8812
(941) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
236807
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
ME117870
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02694448
—
NY
05
—
102817900
—
FL
Enumeration date
09/20/2006
Last updated
12/11/2024
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