Provider Demographics
NPI:1396189338
Name:DAFFNER-MILOS, ANTHONY (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:DAFFNER-MILOS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E ELKCAM CIR UNIT 884
Mailing Address - Street 2:
Mailing Address - City:MARCO ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34146-6144
Mailing Address - Country:US
Mailing Address - Phone:239-944-6318
Mailing Address - Fax:
Practice Address - Street 1:600 E ELKCAM CIR UNIT 884
Practice Address - Street 2:
Practice Address - City:MARCO ISLAND
Practice Address - State:FL
Practice Address - Zip Code:34146-6144
Practice Address - Country:US
Practice Address - Phone:239-944-6318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-22
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT29927225100000X
NJ40QA01334800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist