Provider Demographics
NPI:1780468900
Name:THE MILK NEST LLC
Entity type:Organization
Organization Name:THE MILK NEST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAMILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTERA
Authorized Official - Suffix:
Authorized Official - Credentials:CBS
Authorized Official - Phone:941-296-5322
Mailing Address - Street 1:4815 BARCELONA AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34235-4341
Mailing Address - Country:US
Mailing Address - Phone:941-296-5322
Mailing Address - Fax:
Practice Address - Street 1:4815 BARCELONA AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34235-4341
Practice Address - Country:US
Practice Address - Phone:941-296-5322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty