Provider Demographics
NPI:1245879311
Name:HMILA, MILDRED (HAD)
Entity type:Individual
Prefix:MRS
First Name:MILDRED
Middle Name:
Last Name:HMILA
Suffix:
Gender:F
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 SW 2ND AVE STE 8000
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-7253
Mailing Address - Country:US
Mailing Address - Phone:561-393-6161
Mailing Address - Fax:
Practice Address - Street 1:1001 SW 2ND AVE STE 8000
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-7253
Practice Address - Country:US
Practice Address - Phone:561-393-6161
Practice Address - Fax:561-393-5331
Is Sole Proprietor?:No
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5496237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist