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NPI Code Detail

MEDICARE: DR. GARRY DAVIS MILLIEN MD

MEDICARE:  DR. GARRY DAVIS MILLIEN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME0066418FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101-02503OTHERFLUNITED HEALTH CARE
232570OTHERFLBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4228-6290OTHERFLAETNA
5ME0066418OTHERFLMEDICAL LICENSE
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689628224
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARRY DAVIS MILLIEN MD
Provider Business Mailing Address
First Line : 1501 FOREST HILL BLVD
Second Line : 103
City : WEST PALM BEACH
State : FL
Zip : 33406-6000
Country : US
Telephone Number : 561-432-5090
Fax Number : 561-433-1565
Provider Business Practice Location Address
First Line : 1501 FOREST HILL BLVD
Second Line : 103
City : WEST PALM BEACH
State : FL
Zip : 33406-6000
Country : US
Telephone Number : 561-432-5090
Fax Number : 561-433-1565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 03/07/2023

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Directions to “ DR. GARRY DAVIS MILLIEN MD” Practice Location

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