Provider Demographics
NPI:1083657662
Name:APONTE, MILTON M (MD)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:M
Last Name:APONTE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 881027
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34988-1027
Mailing Address - Country:US
Mailing Address - Phone:772-785-8989
Mailing Address - Fax:772-785-6164
Practice Address - Street 1:380 SW PRIMA VISTA BLVD
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-1984
Practice Address - Country:US
Practice Address - Phone:772-785-8989
Practice Address - Fax:772-785-6164
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2008-06-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME79897208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL58879OtherBCBS
FL259749700Medicaid
FL259749700Medicaid