Miles Medrano, MD
Internal Medicine, Gastroenterology in Atlantis, FL. Individual provider (NPI-1).
NPI number1366487514
StatusActive
Last updated in NPPESJan 14, 2021
Details
- NPI
- 1366487514
- Entity type
- Individual (NPI-1)
- Name
- Miles Medrano
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2006
- Certification date
- Jan 14, 2021
- Last updated
- Jan 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | ME90022 | FL | Yes |
Practice location
5401 S Congress Ave#211
Atlantis, FL 33462-6635
Phone 561-964-8221 · Fax 561-964-7393
Mailing address
5401 S Congress Ave Ste 211Atlantis, FL 33462-6637
Phone 561-964-8221 · Fax 561-964-7393
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