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Deactivated NPI 1528158730 Deactivated / Inactive NPI Female Practitioner

Dr. Gloria Helen Mikula , MD

Pharmacist • Holly Hill, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gloria Mikula has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 16, 2006
NPI Deactivation Date December 09, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Gloria Mikula, MD was a registered Pharmacist practicing in Holly Hill, FL. Throughout an active medical career spanning 13 years, Dr. Mikula provided care at the practice location at 1702 RIDGEWOOD AVE until profile deactivation on 2019-12-09.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1702 Ridgewood Ave

Holly Hill, FL 321175416

Telephone 3866775415
Fax 3866771475
Associated Practice Facility / Clinic
🏢 Xinim Corporation Facility NPI 1932109667

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Holly Hill, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
29 Specialists

Practicing in Holly Hill, FL (19926 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
3.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
272 53 $106.94 $103.40

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL 12684

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1205055704

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 09, 2019

Record deactivated on December 09, 2019

NPI Profile Active December 16, 2013

NPI status registered as active in NPPES database

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Updated Practice Location December 16, 2013

Registered at 1702 RIDGEWOOD AVE, HOLLY HILL, FL 321175416 (Tel: 3866775415)

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Updated Business Mailing Address December 16, 2013

Registered at P.O. BOX 11079, DAYONA BEACH, FL 321201079 (Tel: 3862533704)

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Provider Name / Credentials Updated December 16, 2013

Recorded as GLORIA MIKULA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2013

Pharmacist (License #12684 in FL)

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Initial NPI Registration & Enumeration October 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528158730
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2006
Last Update: December 16, 2013
Deactivation Date: December 09, 2019

Mailing Address

P.o. Box 11079

Dayona Beach, FL 321201079

Phone: 3862533704

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.