Healthcare Provider Details

I. General information

NPI: 1225088156
Provider Name (Legal Business Name): LINDA SUE MILANO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 11/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 E OAKLAND PARK BLVD STE 210
OAKLAND PARK FL
33334-4400
US

IV. Provider business mailing address

1400 E OAKLAND PARK BLVD STE 210
OAKLAND PARK FL
33334-4400
US

V. Phone/Fax

Practice location:
  • Phone: 954-561-6222
  • Fax: 954-990-7650
Mailing address:
  • Phone: 954-561-6222
  • Fax: 954-990-7650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberARNP1707182
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1707182
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: