Provider Demographics
NPI:1518738509
Name:MILLIGAN, SARAH BROOKE (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:BROOKE
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23346 SUNSET VW
Mailing Address - Street 2:
Mailing Address - City:SORRENTO
Mailing Address - State:FL
Mailing Address - Zip Code:32776-8517
Mailing Address - Country:US
Mailing Address - Phone:352-434-2692
Mailing Address - Fax:
Practice Address - Street 1:23346 SUNSET VW
Practice Address - Street 2:
Practice Address - City:SORRENTO
Practice Address - State:FL
Practice Address - Zip Code:32776-8517
Practice Address - Country:US
Practice Address - Phone:352-434-2692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ11785235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty