MEDICARE: ANDREW MILERA M.D.

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	208000000X	Pediatrics Physician	ME154290	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639600414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW MILERA M.D.

Provider Business Mailing Address
First Line	:	7221 SW 129TH ST
Second Line	:
City	:	PINECREST
State	:	FL
Zip	:	33156-5358
Country	:	US
Telephone Number	:	305-934-1050
Fax Number	:

Provider Business Practice Location Address
First Line	:	5992 CORAL RIDGE DR UNIT B-11
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-3302
Country	:	US
Telephone Number	:	754-484-4767
Fax Number	:

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

Provider Enumeration Date	:	03/23/2017
Last Update Date	:	03/10/2022

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