Provider Demographics
NPI:1538129796
Name:MILLAN, ADOLFO NAVARRO (MD)
Entity type:Individual
Prefix:DR
First Name:ADOLFO
Middle Name:NAVARRO
Last Name:MILLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8831 OKEECHOBEE BLVD
Mailing Address - Street 2:APT 304
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411
Mailing Address - Country:US
Mailing Address - Phone:561-478-7422
Mailing Address - Fax:561-478-2377
Practice Address - Street 1:5601 CORPORATE WAY
Practice Address - Street 2:SUITE 301
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2025
Practice Address - Country:US
Practice Address - Phone:561-478-7422
Practice Address - Fax:561-478-2377
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00262262084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD55819Medicare UPIN
FL00050756ZMedicare ID - Type Unspecified