Healthcare Provider Details

I. General information

NPI: 1831397934
Provider Name (Legal Business Name): VINCENT R MILIONE DPM PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 10/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 VINELAND RD #112
ORLANDO FL
32819-7829
US

IV. Provider business mailing address

11788 E COLONIAL DR
ORLANDO FL
32817-4626
US

V. Phone/Fax

Practice location:
  • Phone: 407-352-9666
  • Fax: 407-380-9802
Mailing address:
  • Phone: 407-380-9800
  • Fax: 407-380-9802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO-1885
License Number StateFL

VIII. Authorized Official

Name: DR. VINCENT RICHARD MILIONE
Title or Position: PRESIDENT
Credential: DPM
Phone: 407-380-9800