Provider Demographics
NPI:1407063001
Name:MILOWE, IRVIN D (MD)
Entity Type:Individual
Prefix:DR
First Name:IRVIN
Middle Name:D
Last Name:MILOWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3765 CARMEN CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6547
Mailing Address - Country:US
Mailing Address - Phone:305-648-2393
Mailing Address - Fax:305-648-2319
Practice Address - Street 1:3765 CARMEN CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-6547
Practice Address - Country:US
Practice Address - Phone:305-648-2393
Practice Address - Fax:305-648-2319
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME720552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE4685Medicare ID - Type Unspecified