Organization
MILLA PEDIATRICS AND ASSOCIATES, INC
Active
Parent organization
MILLA PEDIATRICS AND ASSOCIATES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLA PEDIATRICS AND ASSOCIATES, INC
Authorized official
DR. PAULINO MILLA MD (PRESIDENT)
(352) 332-6644
Entity
Organization
Contact information
Practice address
1847 SW BARNETT WAY, LAKE CITY, FL 32025-6957
(386) 755-2240
(386) 755-6598
Mailing address
6400 W NEWBERRY RD, SUITE 207, GAINESVILLE, FL 32605-6605
(352) 332-6644
(352) 332-8251
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME0058262
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375159701
—
FL
Enumeration date
06/09/2008
Last updated
06/09/2008
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