Heredia, Milagro Esmeralda

Heredia, Milagro Esmeralda is an sole proprietor health care provider with primary practice located at 608 Ingraham Ave , Haines City FL 33844-4330. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Heredia, Milagro Esmeralda can be contacted via phone (863) 422-9562.

Contact Information

Primary practice address
608 Ingraham Ave Haines City FL 33844-4330
Phone: (863) 422-9562
Fax: (863) 421-3246
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN1447 Florida

Profile Details

NPI number 1265091136
LBN Legal business name Heredia, Milagro Esmeralda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2019
Last updated May 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265091136 NPPES
Florida MEDICAID 116755000

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