Mikhailia Wanakee Lake MD

NPI 1639344914 - Internal Medicine - 207RC0000X

NPI Details
NPI 1639344914
Gender Female
Enumeration Date 04/28/2008
Last Updated 03/11/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
8960 COLONIAL CENTER DR
SUITE 302
FORT MYERS FL, 33905-7810, US
Phone (239) 343-9700
Fax (239) 343-9699
Business Location
PO BOX 2147
FORT MYERS FL, 33902-2147, US
Phone (239) 424-1499
Fax (239) 424-1421
Toxanomy
Taxonomy Code 207RC0000X
License State Florida
License Number ME 112403
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According to our database, Mikhailia Wanakee Lake MD NPI is 1639344914, taxonomy code is 207RC0000X and license number is ME 112403, license state is located at Florida. Mikhailia Wanakee Lake MD physically located at 8960 Colonial Center Dr, Fort Myers FL, 33905-7810. NPI Number Mikhailia Wanakee Lake MD has the Individual type.

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1639344914 NPI number is provided on an as is basis without warranty of any kind. 1639344914 is maintained by the National Plan & Provider Enumeration System. The contents of Mikhailia Wanakee Lake MD are for informational purposes only.