Organization
MILESTONES PEDIATRICS LLC
Active
Other names
Milestones Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
PRIYANKA VYAS (OWNER)
(501) 231-4079
Entity
Organization
Contact information
Practice address
100 SW 75TH ST STE 101, GAINESVILLE, FL 32607-5775
(352) 559-8911
(352) 559-8877
Mailing address
6910 NW 52ND LN, GAINESVILLE, FL 32653-3954
(352) 559-8911
(352) 559-8877
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME116979
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100919100
—
FL
Enumeration date
07/21/2018
Last updated
08/27/2020
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