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Individual

MICHAEL DARRELL MILLIGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1040 GULF BREEZE PKWY, SUITE 200, GULF BREEZE, FL 32561-7808
(850) 916-3700
(850) 916-3710
Mailing address
PO BOX 22076, NEW YORK, NY 10087-2076
(561) 657-4709
(561) 657-4815

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200200257
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
11818
NV
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME125304
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
178196
AL
Enumeration date
03/20/2006
Last updated
01/05/2024
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