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MRS. MILOSLAVA SOUCKOVA MICIAN MD NPI 1275625006


NPI Information

NPI: 1275625006
Provider Name: MRS. MILOSLAVA SOUCKOVA MICIAN, MD
Classification: Dermatology - 207NS0135X
Entity Type: Individual

Specialization: Procedural Dermatology

PECOS Registration: Yes

Address:
3619 W WATERS AVENUE
TAMPA, FL
ZIP 33614
Phone: (813) 932-8866
Get Directions

MRS. Miloslava Souckova Mician, MD is a procedural dermatology dermatology in Tampa, FL. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). MRS. Miloslava Souckova Mician, MD NPI is 1275625006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3619 W WATERS AVENUE
TAMPA, FL
ZIP 33614
Phone: (813) 932-8866
Fax: (813) 932-9668

The NPI 1275625006 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural DermatologyME0029781FLORIDAYes
22082S0105XPlastic SurgerySurgery of the HandME0029781FLORIDAX
3208600000XSurgeryME0029781FLORIDAX
42086S0120XSurgeryPediatric SurgeryME0029781FLORIDAX
52086S0122XSurgeryPlastic and Reconstructive SurgeryME0029781FLORIDAX
62086S0127XSurgeryTrauma SurgeryME0029781FLORIDAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D67074MEDICARE UPIN
204238MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.