Active NPI
Joseph M Millan, M.D.
- Internal Medicine Physician
- Jacksonville, FL
National Provider Identifier
1609829456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME42674
- Practice address
- 1702 Osceola Street
Jacksonville, FL 32204 - Phone
- (904) 388-6770
- Fax
- (904) 389-1464
- NPI assigned
- May 19, 2006
- Last updated
- Oct 23, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME42674 | FL | Primary |
Addresses
Primary practice location
1702 Osceola Street
Jacksonville, FL 32204
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 388-6770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14208Y | Other | FL | PTAN |
Other names 1
- Dr. Joseph M Millan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME42674 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Interpreters Inc | Current | Accepting new patients |
Locations
2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474
Interoperability endpoints
- joseph.millan.1@8967.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiology Technician
- Jacksonville, FL
- NPI 1477887149
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144362609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1609829456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 BELFORT RD STE 4015",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322163623",
"telephone_number": "904-388-6770",
"fax_number": "904-389-1464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 OSCEOLA STREET",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32204",
"telephone_number": "904-388-6770",
"fax_number": "904-389-1464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLAN",
"first_name": "JOSEPH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME42674",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "14208Y",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOSEPH",
"last_name": "MILLAN",
"middle_name": "M",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Jacksonville, FL
- Valerie Heath Miles, MD
- Kelsey Moody Mileski, OD
- Suzette Miley-Pearson, BAH/NCMA
- Oscar A Milian Cardoso, MD
- Mill Cove Family Dentistry, LLC (Mill Cove Family Dentistry)
- Luis Enrique Millan, DPT
- Giovanni Guerrero Millare, M.D.
- Anna Millbourn, OTR/L
- Millennium Physician Group LLC
- Millennium Physician Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.