Provider Demographics
NPI:1912191883
Name:MILHOLLEN, JAMES D (RN)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:D
Last Name:MILHOLLEN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 TELFAIR RD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33510-2912
Mailing Address - Country:US
Mailing Address - Phone:813-684-7694
Mailing Address - Fax:
Practice Address - Street 1:617 TELFAIR RD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33510-2912
Practice Address - Country:US
Practice Address - Phone:813-684-7694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3259972163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency