Michael Darrell Milligan, MD
Family Medicine, Sports Medicine in Gulf Breeze, FL. Individual provider (NPI-1).
NPI number1528027422
StatusActive
Last updated in NPPESJan 5, 2024
Details
- NPI
- 1528027422
- Entity type
- Individual (NPI-1)
- Name
- Michael Darrell Milligan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2006
- Certification date
- Jan 5, 2024
- Last updated
- Jan 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | ME125304 | FL | Yes |
| 207QS0010X | Family Medicine, Sports Medicine | 11818 | NV | |
| 207Q00000X | Family Medicine | 200200257 | NC |
Practice location
1040 Gulf Breeze PkwySuite 200
Gulf Breeze, FL 32561-7808
Phone 850-916-3700 · Fax 850-916-3710
Mailing address
Po Box 22076New York, NY 10087-2076
Phone 561-657-4709 · Fax 561-657-4815
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