Provider Demographics
NPI:1932220845
Name:MILLIGAN, JANICE E (MD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:E
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 NE 8TH ST
Mailing Address - Street 2:SUITE #4
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-4676
Mailing Address - Country:US
Mailing Address - Phone:305-247-8585
Mailing Address - Fax:305-246-8109
Practice Address - Street 1:125 NE 8TH ST
Practice Address - Street 2:SUITE #4
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4676
Practice Address - Country:US
Practice Address - Phone:305-247-8585
Practice Address - Fax:305-246-8109
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME31858207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD58757Medicare UPIN
FL79362ZMedicare ID - Type Unspecified