Healthcare Provider Details

I. General information

NPI: 1962337667
Provider Name (Legal Business Name): MILORD QUANTUM SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5603 NW 48TH LANE
TAMARAC FL
33319
US

IV. Provider business mailing address

2950 W CYPRESS CREEK RD STE. 333 #1277
FORT LAUDERDLAE FL
33309
US

V. Phone/Fax

Practice location:
  • Phone: 754-255-1723
  • Fax:
Mailing address:
  • Phone: 754-255-1723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. IDEIDRE A MILORD
Title or Position: LICENSED MENTAL HEALTH THERAPIST
Credential: LMHC
Phone: 754-255-1723