Organization
ERNESTO J. MILLAN MD. PA.
Active
Organization
ERNESTO J. MILLAN MD. PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNESTO JOSE MILLAN M.D. (OWNER)
(813) 448-6755
Entity
Organization
Contact information
Practice address
5110 N. HABANA AVE. SUITE #1, TAMPA, FL 33614-6873
(813) 448-6755
Mailing address
5110 N. HABANA AVE. SUITE #1, TAMPA, FL 33614-6873
(813) 448-6755
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25846200
—
FL
Enumeration date
01/07/2013
Last updated
04/08/2021
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