Dr MARIANO B MIKULIC is a male medical professional, specializing in Cardiovascular Disease (cardiology). He graduated in 1986.
ST VINCENT'S AMBULATORY CARE INC
1699 S 14TH ST
FERNADINA BEACH
FL
320341964
Tel:
| Npi | 1639172836 |
| Pac Id | 5092888735 |
| Professional Enrollment Id | I20080714000600 |
| Last Name | MIKULIC |
| First Name | MARIANO |
| Middle Name | B |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1986 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | ST VINCENT'S AMBULATORY CARE INC |
| Group Practice Pac Id | 2860411188 |
| Number Of Group Practice Members | 295 |
| Line 1 Street Address | 1699 S 14TH ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | FERNADINA BEACH |
| State | FL |
| Zip Code | 320341964 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 100040 |
| Hospital Affiliation Lbn 1 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Hospital Affiliation Ccn 2 | 110003 |
| Hospital Affiliation Lbn 2 | MAYO CLINIC HEALTH SYSTEM IN WAYCROSS |
| Hospital Affiliation Ccn 3 | 110089 |
| Hospital Affiliation Lbn 3 | COFFEE REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | 100321 |
| Hospital Affiliation Lbn 4 | ST VINCENTS MEDICAL CENTER - CLAY COUNTY |
| Hospital Affiliation Ccn 5 | 100134 |
| Hospital Affiliation Lbn 5 | ED FRASER MEMORIAL HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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