Healthcare Provider Details

I. General information

NPI: 1326849662
Provider Name (Legal Business Name): PATRICK HAMCHO-MILAZZO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2025
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 59TH ST W FL 34209
BRADENTON FL
34209-4604
US

IV. Provider business mailing address

2020 59TH ST W FL 34209
BRADENTON FL
34209-4604
US

V. Phone/Fax

Practice location:
  • Phone: 941-290-2862
  • Fax:
Mailing address:
  • Phone: 941-290-2862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number42696
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: