Active NPI
Milla Pediatrics and Associates, Inc.
- Pediatrics Physician
- Lake City, FL
National Provider Identifier
1982775128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0058262
- Legal business name
- MILLA PEDIATRICS AND ASSOCIATES, INC.
- Practice address
- 426 SW Commerce Dr
Suite 101
Lake City, FL 32025-1505 - Phone
- (386) 755-2240
- Fax
- (386) 755-6598
- NPI assigned
- Nov 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paulino Milla, M.D.
- Title
- President
- Phone
- (386) 755-2240
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0058262 | FL | Primary |
Addresses
Primary practice location
426 SW Commerce Dr
Suite 101
Lake City, FL 32025-1505
Mailing address
426 SW Commerce Dr
Suite 101
Lake City, FL 32025-1505
Phone (386) 755-2240
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 375159701 | Medicaid | FL | |
| 375159702 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1847 SW Barnett Way
Lake City, FL 32025
Phone (386) 755-1440
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Altamonte Springs, FL
- NPI 1376509521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400544000000",
"number": "1982775128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 SW COMMERCE DR",
"address_2": "SUITE 101",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320251505",
"telephone_number": "386-755-2240",
"fax_number": "386-755-6598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 SW COMMERCE DR",
"address_2": "SUITE 101",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320251505",
"telephone_number": "386-755-2240",
"fax_number": "386-755-6598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLA PEDIATRICS AND ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-10",
"last_updated": "2014-05-20",
"status": "A",
"authorized_official_last_name": "MILLA",
"authorized_official_first_name": "PAULINO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "386-755-2240",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0058262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "375159701",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "375159702",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
- Jalisa D Middleton
- Kimberly Middleton, BCBA
- Miguel J Tepedino MD PA (North Florida Family Medicine)
- Milla Pediatrics & Associates, Inc.
- Milla Pediatrics and Associates, Inc
- Heather B Miller, CRNA
- Kayleigh Christine Miller, LMT
- Pamula Nicole Miller
- Adrian Mincey
- Mindful Impact Counseling and Coaching
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.