Healthcare Provider Details

I. General information

NPI: 1497952915
Provider Name (Legal Business Name): MILICA SAPER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2007
Last Update Date: 11/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13734 SW 56TH ST
MIAMI FL
33175-6020
US

IV. Provider business mailing address

900 S PINE ISLAND RD STE 800
PLANTATION FL
33324-3923
US

V. Phone/Fax

Practice location:
  • Phone: 305-387-7211
  • Fax: 305-382-2708
Mailing address:
  • Phone: 305-387-7211
  • Fax: 305-382-2708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME 110725
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: