Provider Demographics
NPI:1568293926
Name:MILOR, RODNA
Entity type:Individual
Prefix:MRS
First Name:RODNA
Middle Name:
Last Name:MILOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1087 ROYAL MARQUIS CIR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-9199
Mailing Address - Country:US
Mailing Address - Phone:407-517-8430
Mailing Address - Fax:
Practice Address - Street 1:715 DOUGLAS AVE STE 10
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2576
Practice Address - Country:US
Practice Address - Phone:407-575-1315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9641379163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty