Provider Demographics
NPI:1659713485
Name:MIKHAIL, MINA (DC)
Entity Type:Individual
Prefix:DR
First Name:MINA
Middle Name:
Last Name:MIKHAIL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 WELLS AVE STE 121
Mailing Address - Street 2:
Mailing Address - City:FERN PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32730-2000
Mailing Address - Country:US
Mailing Address - Phone:407-622-6295
Mailing Address - Fax:407-622-2295
Practice Address - Street 1:2601 WELLS AVE STE 121
Practice Address - Street 2:
Practice Address - City:FERN PARK
Practice Address - State:FL
Practice Address - Zip Code:32730-2000
Practice Address - Country:US
Practice Address - Phone:407-622-6295
Practice Address - Fax:407-622-2295
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10950111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor