Whalio Doctors

NPI 1457596074

Raymond Bernard Mikus, DO

Practitioner Family Medicine Physician Holiday, FL

Practice location

Address
2404 US Highway 19, Holiday, FL 34691-3943
Phone
(727) 945-0100
Fax
(727) 945-0133
Mailing address
2404 US Highway 19, Holiday, FL 34695

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence OS 10840 (FL)

Registry record

NPI
1457596074
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Dec 2008
Record last updated
12 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.