Individual
MRS. SHANNON LORRAINE MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Contact information
Practice address
601 UNIVERSITY BLVD STE 204, JUPITER, FL 33458-2788
(561) 564-0665
Mailing address
6101 BLUE LAGOON DR STE 400, MIAMI, FL 33126-2051
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
ARNP9278663
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN9278663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IM409Z
MEDICARE PTAN
FL
Enumeration date
07/06/2015
Last updated
03/31/2026
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