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Individual

JUAN CARLOS MILLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 NW 70TH AVE, SUITE 107, PLANTATION, FL 33317-2384
(954) 581-3100
Mailing address
300 NW 70TH AVE STE 107, PLANTATION, FL 33317-2360
(305) 975-5442

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
L 9813
TX
208000000X
Pediatrics Physician
Primary
ME 95037
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274577100
FL
05
8D0228
TX
Enumeration date
07/12/2006
Last updated
10/06/2010
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