Milan, Sandra Juanita

Milan, Sandra Juanita is an individual health care provider with primary practice located at 1454 Madison Ave W , Immokalee FL 34142-2200. She recently has only one registered license in Other Service Providers / Medical Genetics, Ph.D. Medical Genetics, which is considered as her primary health care specialty. Milan, Sandra Juanita can be contacted via phone (239) 658-3000.

Contact Information

Primary practice address
1454 Madison Ave W Immokalee FL 34142-2200
Fax: (239) 658-3175
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Medical Genetics, Ph.D. Medical Genetics 170100000X ME80860 Florida

Profile Details

NPI number 1538112800
LBN Legal business name Milan, Sandra Juanita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Aug 4th, 2014 - about 11 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 1538112800 NPPES
Florida MEDICAID 265322200

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