DR. SANDRA JUANITA MILAN (NPI# 1538112800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538112800 |
| Entity Type | Individual |
| Full Name | DR. SANDRA JUANITA MILAN |
| Credential | MD |
| Practice Address |
1454 Madison Ave W Immokalee FL 34142-2200 |
| Practice Telephone | 2396583000 |
| Practice Fax Number | 2396583175 |
| Mailing Telephone | 2396583000 |
| Mailing Fax Number | 2396583175 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | ME80860 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 265322200 | 05 |
| Street Address |
1454 MADISON AVE W |
| City | IMMOKALEE |
| State | FL |
| Zip Code | 34142-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617484 | Van Keith Riley | Dentist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2005-05-31 |
| 1467071076 | Riha Wadhwa | Student in an Organized Health Care Education/Training Program | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2020-04-14 |
| 1558821918 | Ilmary Enid Arce Febles | Dentist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2019-03-21 |
| 1578047221 | Frances Sanchez Duverge | Psychologist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2018-09-19 |
| 1043716996 | Anthony Tyler Riggio | Dentist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2018-03-31 |
| 1891210399 | Jean Kesnold Mesidor | Psychologist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2017-08-07 |
| 1952852758 | Christell Sanchez | Dental Hygienist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-10-18 |
| 1740731447 | Paul Beingolea | Dental Hygienist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-10-18 |
| 1093266892 | Olga Guerrero | Dental Hygienist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-10-18 |
| 1184175986 | Orayna Perez | Dental Hygienist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432622 | Gabriels House of Care Fl. LLC | Acupuncturist | 212 South First St., Immokalee, FL 34142 | 2019-02-04 |
| 1851662472 | Seminole Tribe of Florida | Clinic/Center | 1120 S. First Street, Immokalee, FL 34142 | 2012-01-13 |
| 1881849826 | Michael Kane | Dentist | 1013 W. Main St., Unit 6a, Immokalee, FL 34142 | 2008-11-18 |
| 1699870485 | Jane J Darien | Social Worker | 425 North First St, Immokalee, FL 34142 | 2006-09-14 |
| 1659873891 | Dayna Sue Shull | Specialist/Technologist | 5050 Ave Maria Blvd, Ave Maria, FL 34142 | 2018-03-04 |
| 1457881922 | Immokalee Dental P.a. | Dentist | 1013 W. Main St., Unit 6a, Immokalee, FL 34142 | 2017-06-15 |
| 1063687838 | Alexandra Bianca Sarac | Pediatrics | 1441 Heritage Blvd, Immokalee, FL 34142 | 2008-04-23 |
| 1215262977 | Mid State Mental Health Assessment Inc | Psychologist | 7052 Annunciation Circle, Suite 329, Ave Maria, FL 34142-0000 | 2009-10-13 |
| 1194343194 | Laury Garcia | Social Worker | 3511 Carson Lakes Cir, Immokalee, FL 34142-2092 | 2020-07-07 |
| 1558399550 | Georges Etienne Quesnel | Obstetrics & Gynecology | Marion E Fether Medical Center, 1454 Madison Ave. W, Immokalee, FL 34142-2200 | 2006-06-29 |
| Find all providers in zip 34142 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790108678 | Doctor Ralph Miniet Practice | Medical Genetics, Ph.D. Medical Genetics | 275 Fontainebleau Blvd Suite 210, Miami, FL 33172 | 2014-01-28 |
| 1861733115 | Supreme Medical Center | Medical Genetics, Ph.D. Medical Genetics | 9370 Sw 72nd St Ste A103, Miami, FL 33173-5470 | 2013-03-12 |
| 1881939809 | Advance Rheumatology Services Inc | Medical Genetics, Ph.D. Medical Genetics | 206 Foxtail Dr Apt G2, Greenacres, FL 33415-6014 | 2012-12-03 |
| 1417229725 | Celebrity Rehab Inc | Medical Genetics, Ph.D. Medical Genetics | 50 Nw 15th St, Suite 101, Homestead, FL 33030-4266 | 2012-02-01 |
| 1376821678 | Tracy M Baker | Medical Genetics, Ph.D. Medical Genetics | 9155 S Dadeland Blvd Ste 1708, Miami, FL 33156-2742 | 2011-08-03 |
| 1952506412 | Elvis Lazaro Ferrera | Medical Genetics, Ph.D. Medical Genetics | 1506 E 4th Ave, Hialeah, FL 33010-3159 | 2007-06-15 |
| 1962625178 | Miami Springs Health Center Inc | Medical Genetics, Ph.D. Medical Genetics | 3968 Curtiss Pkwy, Virginia Gardens, FL 33166-7108 | 2007-04-10 |
| 1780704072 | Feel Better Medical Center Inc | Medical Genetics, Ph.D. Medical Genetics | 2141 S.w 1 St, Suite 211, Miami, FL 33135 | 2007-03-30 |
| 1568599041 | Flagler Clinic Center Corp | Medical Genetics, Ph.D. Medical Genetics | 6765 W Flagler St, Miami, FL 33144-2923 | 2007-02-28 |
| 1437286937 | Kenbeck LLC | Medical Genetics, Ph.D. Medical Genetics | 4342 E Tradewinds Ave, Lauderdale By The Sea, FL 33308-5044 | 2007-02-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.