Individual
MICHAEL MINGIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
1613 N. HARRISON PKWY, SUITE 200, SUNRISE, FL 33323
(800) 437-2672
Mailing address
25 SE SEMINOLE ST, APT 103, STUART, FL 34994-2129
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA241
FL
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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