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KOLE LANDON MICKOLIO DO
NPI 1063152213
Student in an Organized Health Care Education/Training Program in Bradenton, FL

Active since March 29, 2022PECOS Enrolled
2020 59TH ST W, BRADENTON, FL 34209(941) 792-6611 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kole Landon Mickolio Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOLE LANDON MICKOLIO DO (NPI 1063152213) is an individual student in an organized health care education/training program in Bradenton, Florida and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063152213
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKOLE LANDON MICKOLIOCredential: DO
Location Address2020 59TH ST WBradenton, FL 34209-4604
Mailing Address2020 59th St WBradenton, FL 34209-4604
Phone(941) 792-6611
Sole ProprietorYes
Enumeration DateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1063152213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2020 59TH ST W, Bradenton, FL 34209
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kole Landon Mickolio Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANGUARD EMERGENCY PHYSICIANS, LLC
Emergency Medicine
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (469) 401-2386
DR. ISHPAUL BHAMBER DO
Internal Medicine
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 792-6611
CONNOR JOSEPH BREIDENBACH DO
Student in an Organized Health Care Education/Training Program
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 792-6611
BRYAN NAJJAR PA
Hospitalist
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (706) 863-9595
NANCY GIBBS
Occupational Therapist
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 798-6557
JEREMY HEAD
Radiology (Diagnostic Radiology)
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 798-6513
AHMAD GHAFOOR MD
Student in an Organized Health Care Education/Training Program
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 567-2581
AMMALIE BITTAR
Student in an Organized Health Care Education/Training Program
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 567-2581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kole Mickolio's NPI number?

The NPI number for Kole Mickolio is 1063152213. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Kole Mickolio located?

Kole Mickolio practices at 2020 59th St W, Bradenton, FL 34209. The listed phone number is (941) 792-6611.

What is Kole Mickolio's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kole Mickolio enrolled in Medicare?

Yes. Kole Mickolio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kole Mickolio was last updated on March 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.