MEDICARE: GARRY D MILLIEN MD 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	207Q00000X	Family Medicine Physician	ME0066418	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01-02503	OTHER	FL	UNITED HEALTH CARE
2	228-6290	OTHER	FL	AETNA
3	ME0066418	OTHER	FL	FL LICENSE
4	P00283693	OTHER	FL	MCR RAILROAD
5	16495	OTHER	FL	WELLCARE
6	32570	OTHER	FL	BCBS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265558977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARRY D MILLIEN MD PA

Provider Business Mailing Address
First Line	:	1501 FOREST HILL BLVD
Second Line	:	STE 103
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-6000
Country	:	US
Telephone Number	:	561-432-5090
Fax Number	:	561-433-1565

Provider Business Practice Location Address
First Line	:	1501 FOREST HILL BLVD
Second Line	:	STE 103
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-6000
Country	:	US
Telephone Number	:	561-432-5090
Fax Number	:	561-433-1565

Authorized Official
Title or Position	:	OWNER
Name	:	GARRY D MILLIEN
Credential	:	MD
Telephone Number	:	561-432-5090

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	03/07/2023

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