Provider Demographics
NPI:1417057746
Name:MILAN, ORLANDO ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:ANTONIO
Last Name:MILAN
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 1:50 NE 26TH AVE.
Mailing Address - Street 2:SUITE 303
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062
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 BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062
Practice Address - Country:US
Practice Address - Phone:954-782-8585
Practice Address - Fax:954-782-5112
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME20843207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL250458800Medicaid
FL250458800Medicaid
93058Medicare ID - Type Unspecified