Organization
MILLA PEDIATRICS AND ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULINO MILLA M.D. (PRESIDENT)
(386) 755-2240
Entity
Organization
Contact information
Practice address
426 SW COMMERCE DR, SUITE 101, LAKE CITY, FL 32025-1505
(386) 755-2240
(386) 755-6598
Mailing address
426 SW COMMERCE DR, SUITE 101, LAKE CITY, FL 32025-1505
(386) 755-2240
(386) 755-6598
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0058262
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375159701
—
FL
05
—
375159702
—
FL
Enumeration date
11/10/2006
Last updated
05/20/2014
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