Healthcare Provider Details

I. General information

NPI: 1720091853
Provider Name (Legal Business Name): ENID MILLAND M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ENID MILLAND VIGIO

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E SOUTH ST STE 100
ORLANDO FL
32801-3508
US

IV. Provider business mailing address

5130 SUNFOREST DR STE 300
TAMPA FL
33634-6327
US

V. Phone/Fax

Practice location:
  • Phone: 407-843-1180
  • Fax: 407-841-6160
Mailing address:
  • Phone: 727-824-0780
  • Fax: 813-514-8891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME91653
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: