MEDICARE: DORA MILORD ARNP

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	9279169	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	:	1851880421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORA MILORD ARNP

Provider Business Mailing Address
First Line	:	5924 ITHACA CIR W
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-1518
Country	:	US
Telephone Number	:	561-247-4319
Fax Number	:

Provider Business Practice Location Address
First Line	:	5924 ITHACA CIR W
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-1518
Country	:	US
Telephone Number	:	561-563-6551
Fax Number	:

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

Provider Enumeration Date	:	05/08/2018
Last Update Date	:	12/10/2024

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