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Kole Landon Mickolio, DO
Student in an Organized Health Care Education/Training Program in Bradenton, Florida
NPI 1063152213

Kole Landon Mickolio is a Student in an Organized Health Care Education/Training Program based in Bradenton, FL. Kole Landon Mickolio practices in Bradenton, FL and has the professional credentials of DO. The NPI Number for Kole Landon Mickolio is 1063152213 and holds a License No. (Florida).

The current practice location address for Kole Landon Mickolio is 2020 59Th St W, Bradenton, FL and can be reached out via phone at 941-792-6611.

Location: 2020 59Th St W, Bradenton, FL, 34209-4604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063152213
Provider Name
Kole Landon Mickolio
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2020 59Th St W, Bradenton, FL, 34209-4604
Phone Number
941-792-6611
Fax Number
Provider Enumeration Date
03/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2020 59Th St W
City
Bradenton
State
Florida
Zip
34209-4604
Phone Number
941-792-6611
Fax Number
person
Provider Business Mailing Address Details
Address
2020 59Th St W
City
Bradenton
State
Florida
Zip
34209-4604
Phone Number
941-792-6611
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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