Provider Demographics
NPI:1588980346
Name:MILLAN PINZON, SONIA ISABEL (MD)
Entity type:Individual
Prefix:DR
First Name:SONIA
Middle Name:ISABEL
Last Name:MILLAN PINZON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:120 CYPRESS EDGE DR STE 207
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-8454
Mailing Address - Country:US
Mailing Address - Phone:386-586-1910
Mailing Address - Fax:
Practice Address - Street 1:120 CYPRESS EDGE DR STE 207
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-8454
Practice Address - Country:US
Practice Address - Phone:386-586-1910
Practice Address - Fax:386-586-4411
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-19
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME119542207QS0010X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine