ERNESTO J. MILLAN MD. PA.
Medical Practice in Tampa, FL

License number
Florida ME 79748
Category
Medical Practice
Type
Specialist
Owner
Name: DR. ERNESTO JOSE MILLAN M.D.
Title: OWNER
Phone: (813) 448-6755
Address
Address
5110 N. Habana Ave. Suite #1, Tampa, FL 33614
National Provider ID: 1851638167
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ERNESTO J. MILLAN, M.D., PA

Tampa, FL

Doing business as:
Ernesto J. Millan MD. PA<br>Ernesto J Millan MD
Registration:
Dec 11, 2007
Phone:
(813) 448-6755 (Phone)
Addresses:
5110 N Habana Ave SUITE #1, Tampa, FL 33614 (Physical)
5106 N Armenia Ave, Tampa, FL 33603
State ID:
P07000131320
Business type:
Florida Profit Corporation
Director, Neurologys:
Md Millan, 5110 N Habana Ave, Tampa, FL 33614 (Physical),Ernesto J. Millan (Director, Neurology)
Agent:
Millan, Ernesto J, Md,5110 N Habana Ave SUITE #1, Tampa, FL 33614 (Physical)
EIN:
261568635

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