Provider Demographics
NPI:1609341957
Name:MILIAN, MONICA
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:MILIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5550 WASHINGTON ST APT A316
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-8086
Mailing Address - Country:US
Mailing Address - Phone:954-665-8504
Mailing Address - Fax:
Practice Address - Street 1:5550 WASHINGTON ST APT A316
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-8086
Practice Address - Country:US
Practice Address - Phone:954-665-8504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-12
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker