Provider Demographics
NPI:1285984773
Name:DR JAYSON MILNER, LLC
Entity type:Organization
Organization Name:DR JAYSON MILNER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELY
Authorized Official - Middle Name:CATALINA
Authorized Official - Last Name:MARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-371-3339
Mailing Address - Street 1:1390 BRICKELL AVE
Mailing Address - Street 2:#310
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131
Mailing Address - Country:US
Mailing Address - Phone:305-371-3339
Mailing Address - Fax:305-371-8966
Practice Address - Street 1:1390 BRICKELL AVENUE
Practice Address - Street 2:#310
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131
Practice Address - Country:US
Practice Address - Phone:305-371-3339
Practice Address - Fax:305-371-8966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9292111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty