Provider Demographics
NPI:1053385872
Name:MILBRANDT, ERIC B (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:B
Last Name:MILBRANDT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3977 SE 40TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34480-4961
Mailing Address - Country:US
Mailing Address - Phone:352-304-3201
Mailing Address - Fax:352-354-4630
Practice Address - Street 1:2801 SE 1ST AVE STE 201
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0478
Practice Address - Country:US
Practice Address - Phone:352-325-5755
Practice Address - Fax:352-354-4630
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-16
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME107351207RA0401X, 207RC0200X, 207R00000X
PAMD421569207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002291100Medicaid
PA001955343Medicaid
FL148PJOtherBCBS
PA069459H88Medicare ID - Type Unspecified
FL148PJOtherBCBS
FL002291100Medicaid