Renide Shelcy Milfort, FNP | |
555 W State Road 434, Longwood, FL 32750-5119 | |
(407) 767-1200 | |
Not Available |
Full Name | Renide Shelcy Milfort |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 555 W State Road 434, Longwood, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619604246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN11021195 (Florida) | Primary |
Entity Name | Florida Hospital Healthcare Partners, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
Mailing Address | Practice Location Address |
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Renide Shelcy Milfort, FNP 1687 Brewton Cir, Deltona, FL 32738-5346 Ph: (561) 305-9196 | Renide Shelcy Milfort, FNP 555 W State Road 434, Longwood, FL 32750-5119 Ph: (407) 767-1200 |
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