Organization
CHESTER D. MILTENBERGER, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHESTER D MILTENBERGER JR. MD (OWNER/DOCTOR)
(407) 322-5923
Entity
Organization
Contact information
Practice address
766 N SUN DR, SUITE 1060, LAKE MARY, FL 32746-2552
(407) 322-5923
(407) 333-2358
Mailing address
766 N SUN DR, SUITE 1060, LAKE MARY, FL 32746-2552
(407) 322-5923
(407) 333-2358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME40263
FL
209800000X
Legal Medicine (M.D./D.O.) Physician
ME0040263
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902855505
INDIVIDUAL PROVIDER NPI
FL
05
—
202961800
—
FL
Enumeration date
09/09/2009
Last updated
08/23/2010
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