Provider Demographics
NPI:1295103752
Name:MILIAN, ANNY (SLP)
Entity type:Individual
Prefix:
First Name:ANNY
Middle Name:
Last Name:MILIAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28601 SW 147TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-1505
Mailing Address - Country:US
Mailing Address - Phone:786-752-1153
Mailing Address - Fax:
Practice Address - Street 1:28601 SW 147TH AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-1505
Practice Address - Country:US
Practice Address - Phone:786-752-1153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-14
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ9331235Z00000X
FLSA18221235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist