Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr Carol L. Bloomquist Mikulka MD PA

Organization Psychologist · NPI 1396920500

Dr Carol L. Bloomquist Mikulka MD PA provides Psychologist services in Winter Park, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

214 Tyree Ln
Winter Park, FL 32792-4135
Phone: (407) 645-3777
Fax: (407) 645-1123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Psychologist Taxonomy 103T00000X · Licence ME0050632 (FL)

Record details

NPI number1396920500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Mikulka — Medical Doctor · (407) 645-3777
NPI enumeratedJanuary 7, 2008
Last updated in NPPESApril 10, 2023
Certification dateJune 29, 2022
Mailing address214 Tyree Ln, Winter Park, FL 32792-4135

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