Individual
MR. MICHAEL JAMES CICHANOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 WINGHURST BLVD, ORLANDO, FL 32828-8058
(407) 273-4235
(407) 273-4235
Mailing address
100 WINGHURST BLVD, ORLANDO, FL 32828-8058
(407) 273-4235
(407) 273-4235
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3501-0006722
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01763868
—
NY
05
—
0440758
—
MS
05
—
5445108
—
NJ
05
—
7702075
—
NC
05
—
DME00C150
—
TX
05
—
DME1115
—
SC
Enumeration date
11/13/2006
Last updated
07/09/2007
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