Healthcare Provider Details

I. General information

NPI: 1508808171
Provider Name (Legal Business Name): EDUARDO JOSE MILA PRATS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 06/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 W 9TH ST 2ND FLOOR
HIALEAH FL
33010-3853
US

IV. Provider business mailing address

2737 KINSINGTON CIR
WESTON FL
33332-1860
US

V. Phone/Fax

Practice location:
  • Phone: 786-360-4528
  • Fax: 786-360-4529
Mailing address:
  • Phone: 954-732-6751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberME51845
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME51845
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: