MEDICARE: MARIYA MILKO

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	207R00000X	Internal Medicine Physician	U04244	FL
2	207R00000X	Internal Medicine Physician	OS14687	FL

General Provider Information

NPI Number	:	1891101093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIYA MILKO

Provider Business Mailing Address
First Line	:	14690 SPRING HILL DR
Second Line	:	STE 305
City	:	SPRING HILL
State	:	FL
Zip	:	34609-8102
Country	:	US
Telephone Number	:	352-277-5348
Fax Number	:	352-606-2857

Provider Business Practice Location Address
First Line	:	13220 BELCHER RD S UNIT 1
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33773-1677
Country	:	US
Telephone Number	:	727-351-4894
Fax Number	:	727-351-4897

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

Provider Enumeration Date	:	07/08/2014
Last Update Date	:	12/14/2020

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Directions to “ MARIYA MILKO ” Practice Location

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