Individual
BEVERLY DANIELLE MILFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3800 W EAU GALLIE BLVD STE 101, MELBOURNE, FL 32934-3285
(321) 323-3618
Mailing address
3477 ROCKY GAP PL, COCOA, FL 32926-7404
(321) 289-0053
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9345986
FL
363LF0000X
Family Nurse Practitioner
Primary
11014583
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06232012
N/A
—
Enumeration date
07/27/2021
Last updated
11/10/2021
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