| Elias Milgram M.d. L.l.c. | |
|
2875 Ne 191st St Suite 604 Aventura FL 33180-2801 | |
| (305) 932-3083 | |
| Not Available |
| Full Name | Elias Milgram M.d. L.l.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 2875 Ne 191st St, Aventura, Florida |
| Authorized Official Name and Position | Elias Milgram (PRESIDENT) |
| Authorized Official Contact | 3054908690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elias Milgram M.d. L.l.c. 2875 Ne 191st St Suite 604 Aventura FL 33180-2801 Ph: (305) 932-3083 | Elias Milgram M.d. L.l.c. 2875 Ne 191st St Suite 604 Aventura FL 33180-2801 Ph: (305) 932-3083 |
| NPI Number | 1184014276 |
|---|---|
| Provider Enumeration Date | 01/28/2015 |
| Last Update Date | 01/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184014276 | NPI | - | NPPES |
| 264396100 | Medicaid | FL | |
| 11340235 | Other | CAQH | |
| BM7022875 | Other | D.E.A. | |
| 93507690023 | Other | AMA EDUC# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME81124 (Florida) | Primary |
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