Organization Active NPI

Mommy'S Own Milk LLC

  • Family Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1104559103
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MOMMY'S OWN MILK LLC
Practice address
7401 Wiles Rd Ste 322
Coral Springs, FL 33067-2036
Phone
(954) 507-7686
NPI assigned
Jul 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Neena PatelNPI 1093448094
Title
Member
Phone
(954) 531-9825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193200000X MULTI-SPECIALTY GROUP 163WL0100X
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

7401 Wiles Rd Ste 322
Coral Springs, FL 33067-2036

Mailing address

7401 Wiles Rd Ste 322
Coral Springs, FL 33067-2036
Phone (954) 507-7686

National Provider Directory

National Provider Directory

Locations

7401 Wiles Rd
Ste 322
Coral Springs, FL 33067
Phone (954) 507-7686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1104559103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 WILES RD STE 322",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672036",
            "telephone_number": "954-507-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 WILES RD STE 322",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672036",
            "telephone_number": "954-507-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMMY'S OWN MILK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NEENA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "954-531-9825"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.