| Joseph C Millin Jr Do Pa | |
|
1219 East Ave So Suite208 Sarasota FL 34239-2340 | |
| (941) 363-9444 | |
| (941) 363-9349 |
| Full Name | Joseph C Millin Jr Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1219 East Ave So, Sarasota, Florida |
| Authorized Official Name and Position | Joseph C. Millin (OWNER) |
| Authorized Official Contact | 9413639444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph C Millin Jr Do Pa 1219 East Ave So Suite 208 Sarasota FL 34239-2340 Ph: (941) 363-9444 | Joseph C Millin Jr Do Pa 1219 East Ave So Suite208 Sarasota FL 34239-2340 Ph: (941) 363-9444 |
| NPI Number | 1407811813 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 07/19/2011 |
| Medicare PECOS PAC ID | 7618947664 |
|---|---|
| Medicare Enrollment ID | O20080711000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407811813 | NPI | - | NPPES |
| CJ4517 | Other | FL | RR MEDICARE |
| 000228800 | Medicaid | FL | |
| 40911 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph C Millin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760484158 PECOS PAC ID: 0749250793 Enrollment ID: I20080710000126 |
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