Active NPI
Milangel Sofia Collins, PA
- Physician Assistant
- Pembroke Pines, FL
National Provider Identifier
1033939640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 770
- Practice address
- 11300 SW 13TH St Apt 202
Pembroke Pines, FL 33025-4352 - Phone
- (954) 391-3729
- NPI assigned
- Oct 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 770 | PR | Primary |
Addresses
Primary practice location
11300 SW 13TH St Apt 202
Pembroke Pines, FL 33025-4352
Mailing address
11300 SW 13TH St Apt 202
Pembroke Pines, FL 33025-4352
Phone (954) 391-3729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 770 | PR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1033939640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11300 SW 13TH ST APT 202",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330254352",
"telephone_number": "954-391-3729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 SW 13TH ST APT 202",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330254352",
"telephone_number": "954-391-3729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "MILANGEL",
"middle_name": "SOFIA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-16",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.