Individual
MRS. CHARLOTTE MIKAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4651 SALISBURY RD, SUITE 449, JACKSONVILLE, FL 32256-6107
(904) 418-7900
(904) 418-7901
Mailing address
4651 SALISBURY RD, SUITE 449, JACKSONVILLE, FL 32256-6107
(904) 418-7900
(904) 418-7901
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
30211677
FL
374U00000X
Home Health Aide
30211677
FL
376J00000X
Homemaker
30211677
FL
376K00000X
Nurse's Aide
Primary
30211677
FL
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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