Mcmillin, Beverly Denise

Mcmillin, Beverly Denise is an individual health care provider with primary practice located at 10475 Centurion Pkwy N Suite 302, Jacksonville FL 32256-5003. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is her primary health care specialty. Mcmillin, Beverly Denise can be contacted via phone (904) 398-5437.

Contact Information

Primary practice address
10475 Centurion Pkwy N Suite 302 Jacksonville FL 32256-5003
Phone: (904) 398-5437
Fax: (904) 398-3077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X ME36762 Florida
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X ME36762 Florida

Profile Details

NPI number 1134191034
LBN Legal business name Mcmillin, Beverly Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Feb 8th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134191034 NPPES
Florida Other 12056336 MULTI PLAN
Florida Other 208957 MULTI PLAN
Florida MEDICAID 068708100 MULTI PLAN
Florida Other P2759499 MULTI PLAN
Florida Other 0205114006 MULTI PLAN
Florida Other 4234338 MULTI PLAN
Florida Other 53712 MULTI PLAN
Florida Other 728 MULTI PLAN

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