Active NPI
Angela Kaye Miklavcic
- Pharmacist
- Auburndale, FL
National Provider Identifier
1013254069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS32842
- Practice address
- 606 Havendale Blvd
Auburndale, FL 33823-4687 - Phone
- (863) 551-9798
- Fax
- (863) 551-9829
- NPI assigned
- Jan 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS32842 | FL | Primary |
Addresses
Primary practice location
606 Havendale Blvd
Auburndale, FL 33823-4687
Mailing address
606 Havendale Blvd
Auburndale, FL 33823-4687
Phone (863) 551-9798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS32842 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1013254069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 HAVENDALE BLVD",
"city": "AUBURNDALE",
"state": "FL",
"postal_code": "338234687",
"telephone_number": "863-551-9798",
"fax_number": "863-551-9829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 HAVENDALE BLVD",
"city": "AUBURNDALE",
"state": "FL",
"postal_code": "338234687",
"telephone_number": "863-551-9798",
"fax_number": "863-551-9829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKLAVCIC",
"first_name": "ANGELA",
"middle_name": "KAYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-10",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS32842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburndale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.