Organization
GARRY D MILLIEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRY D MILLIEN MD (OWNER)
(561) 432-5090
Entity
Organization
Contact information
Practice address
1501 FOREST HILL BLVD, STE 103, WEST PALM BEACH, FL 33406-6000
(561) 432-5090
(561) 433-1565
Mailing address
1501 FOREST HILL BLVD, STE 103, WEST PALM BEACH, FL 33406-6000
(561) 432-5090
(561) 433-1565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0066418
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-02503
UNITED HEALTH CARE
FL
01
—
16495
WELLCARE
FL
01
—
228-6290
AETNA
FL
01
—
32570
BCBS
FL
01
—
ME0066418
FL LICENSE
FL
01
—
P00283693
MCR RAILROAD
FL
Enumeration date
03/22/2007
Last updated
03/07/2023
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