Individual
GAIL MIKLIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3949 EVANS AVE STE 102, FORT MYERS, FL 33901-9341
(239) 939-2622
(239) 939-0151
Mailing address
13981 EAGLE RIDGE LAKES DR, #201, FORT MYERS, FL 33912-8801
(239) 768-9195
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1253002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303160800
—
FL
Enumeration date
05/25/2006
Last updated
08/27/2010
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