Provider Demographics
NPI:1447412416
Name:MILLIRON, HILAREE BROOKE (DPM)
Entity Type:Individual
Prefix:
First Name:HILAREE
Middle Name:BROOKE
Last Name:MILLIRON
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1890 LPGA BLVD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32117-7130
Mailing Address - Country:US
Mailing Address - Phone:386-274-3336
Mailing Address - Fax:386-274-3660
Practice Address - Street 1:1890 LPGA BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-7130
Practice Address - Country:US
Practice Address - Phone:386-274-3336
Practice Address - Fax:386-274-3660
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2014-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL133213ES0103X
FLPO3453213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery