=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164486957
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR ADOLFO N MILLAN PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/17/2006
-----------------------------------------------------
Last Update Date | 01/30/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5601 CORPORATE WAY SUITE 206
-----------------------------------------------------
City | WEST PALM BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33407
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-478-7422
-----------------------------------------------------
Fax | 561-478-2377
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5601 CORPORATE WAY SUITE 206
-----------------------------------------------------
City | WEST PALM BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33407
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-478-7422
-----------------------------------------------------
Fax | 561-478-2377
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PRESIDENT
-----------------------------------------------------
Name | DR. ADOLFO NAVARRO MILLAN
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 561-478-7422
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | ME0026226
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------