Organization
AVELINO F. MILLARES, MD, PA
Active
Other names
Internal Medicine Center of Englewood
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVELINO FERMIN MILLARES M.D. (CEO)
(941) 474-1042
Entity
Organization
Contact information
Practice address
356 S INDIANA AVE, ENGLEWOOD, FL 34223-3715
(941) 474-1042
(941) 475-6032
Mailing address
356 S INDIANA AVE, ENGLEWOOD, FL 34223-3715
(941) 474-1042
(941) 475-6032
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0065947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26175
MEDICARE ID
FL
Enumeration date
09/14/2012
Last updated
09/14/2012
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