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An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical Specialty |
261QM2500X | |||
Family |
363LF0000X | 50 | Nurse Practitioner | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI Number | 1366274201 |
| LBN Legal business name | MILESTONE MEDICAL LLC |
| Authorized official | JED ROBERTSON - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/19/2024 |
| Last updated | 08/20/2024 - More than a year ago |
| Identifiers | n/a |
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MILESTONE MEDICAL LLC
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MILESTONE MEDICAL LLC