Provider Demographics
NPI:1932220845
Name:MILLIGAN, JANICE E (MD)
Entity type:Individual
Prefix:DR
First Name:JANICE
Middle Name:E
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9780 E INDIGO ST STE 202
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-5610
Mailing Address - Country:US
Mailing Address - Phone:305-234-0009
Mailing Address - Fax:305-234-8688
Practice Address - Street 1:11373 SW 211TH ST STE 16
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33189-2247
Practice Address - Country:US
Practice Address - Phone:305-234-0009
Practice Address - Fax:305-234-8688
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME31858207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD58757Medicare UPIN
FL79362ZMedicare ID - Type Unspecified