Individual
BERNADETTE MIELAK BOAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-7683
(407) 303-7252
Mailing address
PO BOX 919465, ORLANDO, FL 32891-0001
(407) 422-9831
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME166714
FL
Other
Enumeration date
03/27/2018
Last updated
11/19/2024
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