MEDICARE: MILANGEL SOFIA COLLINS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	770	PR

General Provider Information

NPI Number	:	1033939640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILANGEL SOFIA COLLINS PA

Provider Business Mailing Address
First Line	:	11300 SW 13TH ST APT 202
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-4352
Country	:	US
Telephone Number	:	954-391-3729
Fax Number	:

Provider Business Practice Location Address
First Line	:	11300 SW 13TH ST APT 202
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-4352
Country	:	US
Telephone Number	:	954-391-3729
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2024
Last Update Date	:	10/16/2024

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Directions to “ MILANGEL SOFIA COLLINS PA” Practice Location

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