Provider Demographics
NPI:1962754952
Name:MILFORT, CATHY NATALIE (ARNP)
Entity type:Individual
Prefix:MS
First Name:CATHY
Middle Name:NATALIE
Last Name:MILFORT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7950 SW 30TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-1979
Mailing Address - Country:US
Mailing Address - Phone:954-472-8000
Mailing Address - Fax:954-472-8009
Practice Address - Street 1:7950 SW 30TH ST STE 201
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-1979
Practice Address - Country:US
Practice Address - Phone:954-472-8000
Practice Address - Fax:954-472-8009
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9254809363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics