Healthcare Provider Details

I. General information

NPI: 1063808400
Provider Name (Legal Business Name): MILHENKA AUGUSTE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2015
Last Update Date: 06/19/2024
Certification Date: 06/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 S CONGRESS AVE
DELRAY BEACH FL
33445
US

IV. Provider business mailing address

7808 NW 61ST TER
PARKLAND FL
33067-5107
US

V. Phone/Fax

Practice location:
  • Phone: 561-274-3100
  • Fax: 561-274-3103
Mailing address:
  • Phone: 954-675-1455
  • Fax: 561-837-5190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number13675 I
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number19126
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberACN731
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME165201
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTRN32437
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: