Provider Demographics
NPI:1396189338
Name:DAFFNER-MILOS, ANTHONY (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:DAFFNER-MILOS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25241 ELEMENTARY WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-7883
Mailing Address - Country:US
Mailing Address - Phone:239-947-4184
Mailing Address - Fax:
Practice Address - Street 1:7740 PRESERVE LN STE 5
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-9710
Practice Address - Country:US
Practice Address - Phone:239-227-2297
Practice Address - Fax:239-228-4878
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-22
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01334800225100000X
FLPT29927225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist