Healthcare Provider Details

I. General information

NPI: 1598463887
Provider Name (Legal Business Name): MILTON ZHAO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2023
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3663 S MIAMI AVE
MIAMI FL
33133-4253
US

IV. Provider business mailing address

2715 DUNSMERE CT
PEARLAND TX
77584-9274
US

V. Phone/Fax

Practice location:
  • Phone: 832-439-1268
  • Fax:
Mailing address:
  • Phone: 832-439-1268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License NumberAA807
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: