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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