Individual
INDREK MIIDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
983 N UNIVERSITY DR, CORAL SPRINGS, FL 33071-7048
(954) 227-2030
(954) 227-2010
Mailing address
983 N UNIVERSITY DR, CORAL SPRINGS, FL 33071-7048
(954) 227-2030
(954) 227-2010
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME68380
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378197600
—
FL
Enumeration date
06/15/2006
Last updated
01/28/2010
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