Provider Demographics
NPI:1558609156
Name:PESCADOR, MILAGROS C (MD)
Entity Type:Individual
Prefix:DR
First Name:MILAGROS
Middle Name:C
Last Name:PESCADOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5208 TOURAINE DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5934
Mailing Address - Country:US
Mailing Address - Phone:850-878-4516
Mailing Address - Fax:
Practice Address - Street 1:5208 TOURAINE DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5934
Practice Address - Country:US
Practice Address - Phone:850-878-4516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-17
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL243772084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry