MEDICARE: ENID MILLAND 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	207Q00000X	Family Medicine Physician	ME91653	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LX436	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	ME91653	OTHER	FL	MEDICAL LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720091853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ENID MILLAND M.D.

Provider Business Mailing Address
First Line	:	5130 SUNFOREST DR STE 300
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-6327
Country	:	US
Telephone Number	:	727-824-0780
Fax Number	:	813-514-8891

Provider Business Practice Location Address
First Line	:	320 E SOUTH ST STE 100
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-3508
Country	:	US
Telephone Number	:	407-843-1180
Fax Number	:	407-841-6160

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	04/02/2026

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Directions to “ ENID MILLAND M.D.” Practice Location

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