Healthcare Provider Details

I. General information

NPI: 1083961882
Provider Name (Legal Business Name): ORLANDO A. MILAN M.D.,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2012
Last Update Date: 09/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 NE 26TH AVE SUITE 303
POMPANO BCH FL
33062-5248
US

IV. Provider business mailing address

50 NE 26TH AVE SUITE 303
POMPANO BCH FL
33062-5248
US

V. Phone/Fax

Practice location:
  • Phone: 954-782-8585
  • Fax: 954-782-5112
Mailing address:
  • Phone: 954-782-8585
  • Fax: 954-782-5112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME-20843
License Number StateFL

VIII. Authorized Official

Name: ORLANDO A. MILAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 954-782-8585