Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | OS9989 | FL |
N | 207Q00000X | Family Doctor | OS 9989 | FL |
NPI | 1053532077 |
---|---|
Provider Name | Irina Milman |
First Address | Plantation, FL 33324 |
Second Address | Plantation, FL 33324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 06/11/2019 |