Healthcare Provider Details

I. General information

NPI: 1598164477
Provider Name (Legal Business Name): SARAH LAUREN MILANO BSN, RN, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH LAUREN FORD BSN, RN, LAT, ATC

II. Dates (important events)

Enumeration Date: 08/18/2014
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 W 8TH ST
JACKSONVILLE FL
32209-6511
US

IV. Provider business mailing address

655 W 8TH ST
JACKSONVILLE FL
32209-6511
US

V. Phone/Fax

Practice location:
  • Phone: 904-244-2397
  • Fax:
Mailing address:
  • Phone: 904-244-2397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN9469538
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAL3850
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: