Healthcare Provider Details

I. General information

NPI: 1285147991
Provider Name (Legal Business Name): CLAUDINE MILHOMME
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2017
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2051 45TH ST STE 300
WEST PALM BEACH FL
33407-2031
US

IV. Provider business mailing address

11120 S CROWN WAY STE 1
WELLINGTON FL
33414-8718
US

V. Phone/Fax

Practice location:
  • Phone: 561-642-1000
  • Fax: 561-804-5629
Mailing address:
  • Phone: 561-790-1191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: