MEDICARE: ROBERTO L MILANES APRN

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	363LF0000X	Family Nurse Practitioner	APRN11001119	FL

General Provider Information

NPI Number	:	1801350277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERTO L MILANES APRN

Provider Business Mailing Address
First Line	:	13325 SW 115TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-4495
Country	:	US
Telephone Number	:	305-951-2283
Fax Number	:

Provider Business Practice Location Address
First Line	:	13325 SW 115TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-4495
Country	:	US
Telephone Number	:	305-951-2283
Fax Number	:

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

Provider Enumeration Date	:	01/30/2019
Last Update Date	:	01/30/2019

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