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Mikhailia Wanakee Lake, MD
Cardiovascular Disease Physician in Fort Myers, Florida
NPI 1639344914

Mikhailia Wanakee Lake is a Cardiovascular Disease Physician based in Fort Myers, FL and is specialized in Cardiovascular Disease. Mikhailia Wanakee Lake practices in Fort Myers, FL and has the professional credentials of MD. The NPI Number for Mikhailia Wanakee Lake is 1639344914 and holds a License No. ME 112403 (Florida).

The current practice location address for Mikhailia Wanakee Lake is 8960 Colonial Center Dr, Fort Myers, FL and can be reached out via phone at 239-343-9700 and via fax at 239-343-9699.

Location: 8960 Colonial Center Dr, Fort Myers, FL, 33902-2147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639344914
Provider Name
Mikhailia Wanakee Lake
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
8960 Colonial Center Dr, Fort Myers, FL, 33902-2147
Phone Number
239-343-9700
Fax Number
239-343-9699
Provider Enumeration Date
04/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006503900 05 FL
institution
Provider Business Practice Location Address Details
Address
8960 Colonial Center Dr
City
Fort Myers
State
Florida
Zip
33905-7810
Phone Number
239-343-9700
Fax Number
239-343-9699
person
Provider Business Mailing Address Details
Address
8960 Colonial Center Dr
City
Fort Myers
State
Florida
Zip
33905-7810
Phone Number
239-343-9700
Fax Number
239-343-9699
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
ME 112403 (Florida)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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