Provider Demographics
NPI:1083961882
Name:ORLANDO A. MILAN M.D.,P.A.
Entity Type:Organization
Organization Name:ORLANDO A. MILAN M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:A
Authorized Official - Last Name:MILAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-782-8585
Mailing Address - Street 1:50 NE 26TH AVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:POMPANO BCH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-5248
Mailing Address - Country:US
Mailing Address - Phone:954-782-8585
Mailing Address - Fax:954-782-5112
Practice Address - Street 1:50 NE 26TH AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:POMPANO BCH
Practice Address - State:FL
Practice Address - Zip Code:33062-5248
Practice Address - Country:US
Practice Address - Phone:954-782-8585
Practice Address - Fax:954-782-5112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME-20843207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL250458800Medicaid
FL250458800Medicaid