Active NPI
Miloslava Mician MD PA
Doing business as Mila Mician MD PA
- Plastic and Reconstructive Surgery Physician
- Tampa, FL
National Provider Identifier
1336319045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- MILOSLAVA MICIAN MD PA
- Doing business as
- Mila Mician MD PA
- Practice address
- 3619 W Waters Ave
Tampa, FL 33614-2783 - Phone
- (813) 932-8866
- Fax
- (813) 932-9668
- NPI assigned
- Mar 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Miloslava S Mician, MD
- Title
- President
- Phone
- (813) 932-8866
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | |||
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | |||
| Surgery Physician | 208600000X | |||
| Pediatric Surgery Physician | 2086S0120X | |||
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary | ||
| Trauma Surgery Physician | 2086S0127X |
Addresses
Primary practice location
3619 W Waters Ave
Tampa, FL 33614-2783
Mailing address
3619 W Waters Ave
Tampa, FL 33614-2783
Phone (813) 932-8866
Other names 1
- Mila Mician MD PA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3619 W Waters Ave
Tampa, FL 33614
Phone (813) 932-8866
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Procedural Dermatology Physician
- Tampa, FL
- NPI 1275625006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222387200000",
"number": "1336319045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3619 W WATERS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142783",
"telephone_number": "813-932-8866",
"fax_number": "813-932-9668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3619 W WATERS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142783",
"telephone_number": "813-932-8866",
"fax_number": "813-932-9668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILOSLAVA MICIAN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-10",
"last_updated": "2008-09-26",
"status": "A",
"authorized_official_last_name": "MICIAN",
"authorized_official_first_name": "MILOSLAVA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-932-8866",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2082S0105X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Pediatric Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2086S0127X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mila Mician MD PA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.