Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | ME107351 | FL |
Y | 111NI0900X | Internist | ME107351 | FL |
N | 207RA0401X | Internist - Addiction Medicine | ME107351 | FL |
N | 207RC0200X | Critical Care Medicine | MD421569 | PA |
N | 207RC0200X | Critical Care Medicine | ME107351 | FL |
NPI | 1053385872 |
---|---|
Provider Name | Dr. Eric B Milbrandt |
First Address | Ocala, FL 34480-4961 |
Second Address | Ocala, FL 34471-0478 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2006 |
Last Update Date | 21/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001955343 | (05) | PA |
002291100 | (05) | FL |
148PJ | BCBS (01) | FL |
H83180 | (02) | PA |