Chester D. Miltenberger, Md Pa | |
766 N Sun Dr Suite 1060 Lake Mary FL 32746-2552 | |
(407) 322-5923 | |
(407) 333-2358 |
Full Name | Chester D. Miltenberger, Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 766 N Sun Dr, Lake Mary, Florida |
Authorized Official Name and Position | Chester D Miltenberger (OWNER/DOCTOR) |
Authorized Official Contact | 4073225923 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Chester D. Miltenberger, Md Pa 766 N Sun Dr Suite 1060 Lake Mary FL 32746-2552 Ph: (407) 322-5923 | Chester D. Miltenberger, Md Pa 766 N Sun Dr Suite 1060 Lake Mary FL 32746-2552 Ph: (407) 322-5923 |
NPI Number | 1376876318 |
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Provider Enumeration Date | 09/09/2009 |
Last Update Date | 08/23/2010 |
Medicare PECOS PAC ID | 2062551054 |
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Medicare Enrollment ID | O20091204000232 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376876318 | NPI | - | NPPES |
202961800 | Medicaid | FL | |
1902855505 | Other | FL | INDIVIDUAL PROVIDER NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME40263 (Florida) | Primary |
209800000X | Legal Medicine | ME0040263 (Florida) | Secondary |
Provider Name | Chester D Miltenberger |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902855505 PECOS PAC ID: 7810908290 Enrollment ID: I20060523000136 |
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