| Paul J Miske Ph D Llc | |
|
916 El Dorado Pkwy W Cape Coral FL 33914-7251 | |
| (239) 242-0588 | |
| (239) 242-9945 |
| Full Name | Paul J Miske Ph D Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 916 El Dorado Pkwy W, Cape Coral, Florida |
| Authorized Official Name and Position | Paul J Miske (OWNER) |
| Authorized Official Contact | 2392420588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul J Miske Ph D Llc 2045 Se 28th St Cape Coral FL 33904-3284 Ph: (239) 242-0588 | Paul J Miske Ph D Llc 916 El Dorado Pkwy W Cape Coral FL 33914-7251 Ph: (239) 242-0588 |
| NPI Number | 1275689762 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 10/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275689762 | NPI | - | NPPES |
| 54611 | Other | DC | BCBC OF FL PROVIDER NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY 6267 (Florida) | Primary |
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