Individual
BENJAMIN MIKULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0926
(813) 779-6303
(786) 868-0012
Mailing address
8361 FOXFIRE RD, BROOKSVILLE, FL 34613-6179
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11027023
FL
Other
Enumeration date
06/19/2023
Last updated
10/31/2023
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