Milla Pediatrics and Associates, Inc

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

ME0058262 Issued in FL

Legal business name

MILLA PEDIATRICS AND ASSOCIATES, INC

Practice address

1847 SW Barnett Way
Lake City, FL 32025-6957

Phone

(386) 755-2240

Fax

(386) 755-6598

NPI assigned

Jun 9, 2008

Organization subpart

Yes

Parent organization

MILLA PEDIATRICS AND ASSOCIATES, INCAs reported in NPPES

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

Authorized official

Name

Dr. Paulino Milla, MD

Title

President

Phone

(352) 332-6644

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Milla Pediatrics and Associates Inc2 organizations share this tax ID, including this one

Part of

Milla Pediatrics and Associates Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Milla Pediatrics & Associates, Inc.

  • Pediatrics Physician
  • Lake City, FL
  • NPI 1386726578
  NPD tax ID

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1356500987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 W NEWBERRY RD",
            "address_2": "SUITE 207",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056605",
            "telephone_number": "352-332-6644",
            "fax_number": "352-332-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 SW BARNETT WAY",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256957",
            "telephone_number": "386-755-2240",
            "fax_number": "386-755-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLA PEDIATRICS AND ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILLA PEDIATRICS AND ASSOCIATES, INC",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "MILLA",
        "authorized_official_first_name": "PAULINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-332-6644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME0058262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375159701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorenda Mellyn Middleton, CRT
• Jalisa D Middleton
• Kimberly Middleton, BCBA
• Miguel J Tepedino MD PA
• Milla Pediatrics & Associates, Inc.
• Milla Pediatrics and Associates, Inc.
• Heather B Miller, CRNA
• Kayleigh Christine Miller, LMT
• Pamula Nicole Miller
• Adrian Mincey

• Pediatric Adolescent Medicine Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Pediatric Adolescent Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.