Mark Mikulak (NPI# 1750365573, PAC ID# 7012993215) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1750365573 |
| PAC ID by PECOS | 7012993215 |
| Professional Enrollment ID | I20040628001274 |
| Full Name | Mark Mikulak |
| Organization Legal Name | SYNERGY ANESTHESIOLOGY INC |
| Address |
1881 W Kennedy Blvd Suite C Tampa FL 33606-1611 |
| Phone Number | 8136935000 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2000 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4385781954 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1881 W Kennedy Blvd, Suite C, Tampa, FL 33606-1611 | 8136935000 | SYNERGY ANESTHESIOLOGY INC |
| 2901 B Swann Ave, Tampa, FL 33609-4056 | 8138736429 | GULF-TO-BAY ANESTHESIOLOGY ASSOCIATES LLC |
| Organization Legal Name | SYNERGY ANESTHESIOLOGY INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber Martin Ross | Anesthesiology | Synergy Anesthesiology Inc | 1265 Hwy 54, Suite 103, Fayetteville, GA 30214-4537 |
| Terry J Durham | Certified Registered Nurse Anesthetist (crna) | Synergy Anesthesiology Inc | 3024 N Patterson St, Valdosta, GA 31602-1711 |
| Misty K Deason | Certified Registered Nurse Anesthetist (crna) | Synergy Anesthesiology Inc | 100 Gavotte Ln, Anderson, SC 29621-8205 |
| Kirby B Kitchens | Certified Registered Nurse Anesthetist | Synergy Anesthesiology Inc | 308 Palmetto St, New Smyrna Beach, FL 32168-7136 |
| Pamela I Ellerbee | Certified Registered Nurse Anesthetist (crna) | Synergy Anesthesiology Inc | 215 Sheraton Blvd, Suite 2, Macon, GA 31210-1359 |
| Michael W Finn | Certified Registered Nurse Anesthetist (crna) | Synergy Anesthesiology Inc | 1881 W Kennedy Blvd, Suite C, Tampa, FL 33606-1611 |
| Gregory R Lewis | Certified Registered Nurse Anesthetist (crna) | Synergy Anesthesiology Inc | 3024 N Patterson St, Valdosta, GA 31602-1711 |
| Susanne R Torano | Certified Registered Nurse Anesthetist (crna) | Synergy Anesthesiology Inc | 1881 W Kennedy Blvd, Suite C, Tampa, FL 33606-1611 |
| Michelle W Custer | Certified Registered Nurse Anesthetist (crna) | Synergy Anesthesiology Inc | 215 Sheraton Blvd, Suite 2, Macon, GA 31210-1359 |
| Tonya Stephens | Certified Registered Nurse Anesthetist | Synergy Anesthesiology Inc | 462 Furys Ferry Rd, Martinez, GA 30907-9506 |
| Street Address |
1881 W KENNEDY BLVD SUITE C |
| City | TAMPA |
| State | FL |
| Zip | 33606-1611 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Finn | Certified Registered Nurse Anesthetist (crna) | Synergy Anesthesiology Inc | 1881 W Kennedy Blvd, Suite C, Tampa, FL 33606-1611 |
| Susanne R Torano | Certified Registered Nurse Anesthetist (crna) | Synergy Anesthesiology Inc | 1881 W Kennedy Blvd, Suite C, Tampa, FL 33606-1611 |
| Janale C Beckford | Podiatry | 1881 W Kennedy Blvd, Suite A, Tampa, FL 33606-1611 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Joy Sims | Optometry | Eye Physicians of Pinellas, Pa | 501 N Howard Ave, Suite 100, Tampa, FL 33606-1213 |
| Jairo D Libreros Cupido | Neurology | 4914 N Armenia, Tampa, FL 33606-1402 | |
| Kirk R Smith | Nurse Practitioner | Joanna Mulder Np Inc | 211 N Albany Ave, Tampa, FL 33606-1502 |
| Nestor Guerrero | Nurse Practitioner | Choice Health Care, Inc. | 1881 W Kennedy Blvd A B, Tampa, FL 33606-1611 |
| David E Halpern | Plastic and Reconstructive Surgery | 120 S Fremont Ave, Tampa, FL 33606-1703 | |
| Kerry W Knesl | Clinical Social Worker | 105 S Albany Ave, Tampa, FL 33606-1710 | |
| Priscilla Jaime | Physical Therapy | Optimal Performance and Physical Therapies Hyde Park LLC | 1501 W Cleveland St, Suite 220, Tampa, FL 33606-1812 |
| Brittney Locker | Physical Therapy | Optimal Performance and Physical Therapies Hyde Park LLC | 1501 W Cleveland St, Suite 220, Tampa, FL 33606-1812 |
| James R Bard | Physical Therapy | Optimal Performance and Physical Therapies Hyde Park LLC | 1501 W Cleveland St, Suite 220, Tampa, FL 33606-1812 |
| Candice Amat | Physical Therapy | Optimal Performance and Physical Therapies Hyde Park LLC | 1501 W Cleveland St, Suite 220, Tampa, FL 33606-1812 |
| Find all physicians in zip 33606 | |||
| City | TAMPA |
| Zip Code | 33606 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | TAMPA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.