Dr. Carol L. Bloomquist Mikulka MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DR. CAROL L. BLOOMQUIST MIKULKA MD PA

Practice address

214 Tyree LN
Winter Park, FL 32792-4135

Phone

(407) 645-3777

Fax

(407) 645-1123

NPI assigned

Jan 7, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carol Bloomquist Mikulka, MD

Title

Medical Doctor

Phone

(407) 645-3777

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roberta Ellen Vose, LCSW

  • Clinical Social Worker
  • Winter Park, FL
  • NPI 1316277759
  NPD (past)
• Jeff Wood, LCSW

  • Clinical Social Worker
  • Carmi, IL
  • NPI 1992725972
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1396920500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 TYREE LN",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924135",
            "telephone_number": "407-645-3777",
            "fax_number": "407-645-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 TYREE LN",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924135",
            "telephone_number": "407-645-3777",
            "fax_number": "407-645-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CAROL L. BLOOMQUIST MIKULKA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2023-04-10",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "MIKULKA",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "BLOOMQUIST",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "407-645-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "ME0050632",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Jay Bornstein DPM PA
• Dr Jeffrey L Wechsler Dcpa
• Dr Todd Newberg PLLC
• Dr. Alan S. Kossow, PA
• Dr. Amy L. Hoffman, Psy. D.
• Dr. Drew Byrnes Family and Cosmetic Dentisty
• Dr. Gampolo, LLC
• Dr. Kristie Nguyen PLLC
• Dr. V. Ramcharan P.a.
• Jill Rand Drake, L.C.S.W.

• Psychiatry Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.