Provider Demographics
NPI:1003901182
Name:MIKULINSKY, ASYA (MD)
Entity Type:Individual
Prefix:
First Name:ASYA
Middle Name:
Last Name:MIKULINSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20885 NE 30TH PL
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3615
Mailing Address - Country:US
Mailing Address - Phone:786-553-3364
Mailing Address - Fax:
Practice Address - Street 1:2550 S DOUGLAS RD
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6104
Practice Address - Country:US
Practice Address - Phone:305-443-7070
Practice Address - Fax:305-357-1701
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME74241207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H01707Medicare UPIN
FL46941Medicare ID - Type Unspecified