Organization Name: | MILSTEAD VAUGHT MADONNA FREEDMAN PA |
NPI Number: | 1629091996 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDITH C MILSTEAD (PRESIDENT) |
Mailing Address: | 601 E Dixie Ave Plaza 901 Leesburg |
State: | FL US |
Postal Code: | 347485953 |
Phone Number: | 3527282404 |
Fax Number: | 3527877401 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 03/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |