Provider Demographics
NPI:1881800522
Name:MILIAN, WILFRED (LAP, LMT)
Entity type:Individual
Prefix:DR
First Name:WILFRED
Middle Name:
Last Name:MILIAN
Suffix:
Gender:M
Credentials:LAP, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 NE 26TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33305-1431
Mailing Address - Country:US
Mailing Address - Phone:954-707-9918
Mailing Address - Fax:754-263-1259
Practice Address - Street 1:1650 NE 26TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33305-1431
Practice Address - Country:US
Practice Address - Phone:954-707-9918
Practice Address - Fax:754-263-1259
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP4263171100000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist