Provider Demographics
NPI:1053532077
Name:MILMAN, IRINA (DO)
Entity type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:MILMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 NW 82ND AVENUE
Mailing Address - Street 2:S. 501
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324
Mailing Address - Country:US
Mailing Address - Phone:954-473-6750
Mailing Address - Fax:954-424-7093
Practice Address - Street 1:201 NW 82ND AVENUE
Practice Address - Street 2:S. 501
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324
Practice Address - Country:US
Practice Address - Phone:954-473-6750
Practice Address - Fax:954-424-7093
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 9989207Q00000X
FLOS9989207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine