MEDICARE: LILIANA MILENA HEATH DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	PO3485	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	:	1841514973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILIANA MILENA HEATH DPM

Provider Business Mailing Address
First Line	:	2525 EMBASSY DR
Second Line	:	SUITE 4
City	:	HOLLYWOOD
State	:	FL
Zip	:	33026-4573
Country	:	US
Telephone Number	:	954-443-4141
Fax Number	:	954-431-7840

Provider Business Practice Location Address
First Line	:	2525 EMBASSY DR
Second Line	:	SUITE 4
City	:	HOLLYWOOD
State	:	FL
Zip	:	33026-4573
Country	:	US
Telephone Number	:	954-443-4141
Fax Number	:	954-431-7840

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

Provider Enumeration Date	:	03/18/2010
Last Update Date	:	07/26/2012

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Directions to “ LILIANA MILENA HEATH DPM” Practice Location

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