Mil-Lake Medical Two, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MIL-LAKE MEDICAL TWO, PA

Practice address

2401 Quantum Blvd
Boynton Beach, FL 33426-8612

Phone

(561) 739-9333

Fax

(561) 739-9911

NPI assigned

Sep 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David Abellard, M.D.

Title

Administrator

Phone

(561) 433-4446

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1821348616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 QUANTUM BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268612",
            "telephone_number": "561-739-9333",
            "fax_number": "561-739-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 QUANTUM BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268612",
            "telephone_number": "561-739-9333",
            "fax_number": "561-739-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIL-LAKE MEDICAL TWO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "ABELLARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-433-4446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Carmel Midy, CNA
• Patricia Migliori-Farnes, LCSW
• Miguel a Lopez-Viego MD PA
• Elizabeth Mikail
• Maureen Mikosz, RN
• Cristelina Milan
• Broderick Xavier Miles-Hibbert, PHARM D
• Milestone Behavioral Health Systems LLC
• Miller Pediatric Dentistry, P.a.
• Amber Miller, PTA

• Primary Care Clinic/Center in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.