=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447458617
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CATHY P MILAM MD PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/10/2007
-----------------------------------------------------
Last Update Date | 08/17/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7400 SOUTH TAMIAMI TRAIL
-----------------------------------------------------
City | SARASOTA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34231
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-364-8220
-----------------------------------------------------
Fax | 941-952-9503
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7400 SOUTH TAMIAMI TRAIL
-----------------------------------------------------
City | SARASOTA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34231
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-364-8220
-----------------------------------------------------
Fax | 941-952-9503
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. CATHY P MILAM
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 941-364-8220
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | ME46768
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------