Individual
IGNAZIO MILELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1235 FAIRLAKE TRCE, APT 503, WESTON, FL 33326-2872
(754) 715-7966
Mailing address
1235 FAIRLAKE TRCE, APT 503, WESTON, FL 33326-2872
(754) 715-7966
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-478
FL
Other
Enumeration date
11/12/2016
Last updated
11/12/2016
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