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Contact Information

MIKE M SUPPLICE, ARNP
2009 MICCOSUKEE RD
TALLAHASSEE, FL32308-5359
 Phone: 850-942-2299
 Fax: 850-942-0322
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MIKE M SUPPLICE · (Male)

NPI # 1689000101
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 09/16/2013
Last updated 11/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ARNP9290091
  • GA License # RN210166
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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