DR. CAROL L BLOOMQUIST MIKULKA, M.D.
Psychologist at Tyree Ln, Winter Park, FL

License number
Florida ME0050632
Category
Psychologist
Type
Psychologist
Address
Address
214 Tyree Ln, Winter Park, FL 32792
Phone
(407) 645-3777
(407) 645-1123 (Fax)
National Provider ID: 1124059563
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Carol L. Bloomquist Mikulka, M.D., PA

214 Tyree Ln, Winter Park, FL 32792

Registration:
Dec 16, 1994
State ID:
P94000091426
Business type:
Domestic for Profit Corporation
Director:
Carol L Mikulka Bloomquist (Director)

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