Provider Demographics
NPI:1306231022
Name:MILHOMME, ENIDE
Entity Type:Individual
Prefix:
First Name:ENIDE
Middle Name:
Last Name:MILHOMME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ENIDE
Other - Middle Name:
Other - Last Name:MILHOMME
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:4851 NW 11TH PL
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33313-6515
Mailing Address - Country:US
Mailing Address - Phone:954-802-1600
Mailing Address - Fax:
Practice Address - Street 1:4851 NW 11TH PL
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-6515
Practice Address - Country:US
Practice Address - Phone:954-802-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9325707363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily