Provider Demographics
NPI:1922882208
Name:MILICI, ROBERT ERNST (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ERNST
Last Name:MILICI
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 E HIGH POINT RD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-7002
Mailing Address - Country:US
Mailing Address - Phone:516-353-0979
Mailing Address - Fax:
Practice Address - Street 1:14 E HIGH POINT RD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-7002
Practice Address - Country:US
Practice Address - Phone:516-353-0979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF07231184363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily