MRS. SHANNON LORRAINE MILAM


Address: 1002 S Old Dixie Hwy Ste 201, Jupiter, FL 33458-7202
Phone: 5617442200

MRS. SHANNON LORRAINE MILAM (NPI# 1447633763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447633763
Entity Type Individual
Full Name MRS. SHANNON LORRAINE MILAM
Other Name SHANNON LORRAINE COLEMAN
Credential ARNP-BC
Practice Address 1002 S Old Dixie Hwy Ste 201
Jupiter
FL 33458-7202
Mailing Address 10518 151st Ln N
Jupiter
FL 33478-6874
Practice Telephone 5617442200
Mailing Telephone 5617626651
Enumeration Date 2015-07-06
Last Update Date 2016-09-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice ARNP9278663 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICARE PTAN IM409Z 01

Office Location

Street Address 1002 S OLD DIXIE HWY STE 201
City JUPITER
State FL
Zip Code 33458-7202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265606610 Cynthia Augereau Lambert Nurse Practitioner 1002 S Old Dixie Hwy Ste 201, Jupiter, FL 33458-7202 2008-04-16
1962778233 Nikki Clark Nurse Practitioner 1002 S Old Dixie Hwy Ste 201, Jupiter, FL 33458-7202 2012-03-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538780978 Palm Beach Concierge Pt, LLC Physical Therapist 1166 Egret Cir S, Jupiter, FL 33458 2020-04-27
1346714789 Shirley Dumas Gilbert Counselor 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 2019-01-18
1326518986 Donald George Williams Jr. Pharmacist 5500 Military Trail, Jupiter, FL 33458 2018-11-27
1306329693 William A Tison IIi Physician Assistant 2055 Military Trail Suite 204, Jupiter, FL 33458 2018-09-12
1588146930 Joanna Peros Psychologist 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 2018-09-02
1528558301 Brian Pratt Registered Nurse 871 University Blvd Apt 207, Jupiter, FL 33458 2018-05-16
1306352133 Katherine Janis Rivera Nurse Anesthetist, Certified Registered Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 2017-12-15
1992235436 Barborka Schmidt Pharmacist 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 2017-06-18
1114453834 Elite-e Counseling Social Worker 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 2017-05-02
1669910667 Kristy Lee Caronia Nurse Anesthetist, Certified Registered 175 Edenberry Ave, Jupiter, FL 33458 2017-02-09
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174749147 Barry M. Miskin, Md Pa General Practice 1002 Old Dixie Highway, Suite 304, Jupiter, FL 33458 2007-04-18
1609293646 David Francis Capaldi General Practice 401 Maplewood Dr, Jupiter, FL 33458-5849 2014-03-27
1093158230 Drug Free Pain Center LLC General Practice 224 Chimney Corner Ln, 1026, Jupiter, FL 33458-4800 2013-04-08
1518183185 Susan B. Poncy, Md Pa General Practice 601 University Blvd, Suite 201, Jupiter, FL 33458 2007-04-18
1609092048 Michael Z Kalter M D M S P A General Practice 1004 S Old Dixie Hwy, Suite 302, Jupiter, FL 33458-7200 2007-04-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265033823 Bless Medical Center of Nmb LLC General Practice 1400 Ne Miami Gardens Dr Ste 209, North Miami Beach, FL 33179-4844 2020-11-02
1982203634 Central Florida Wellness LLC General Practice 15516 W Colonial Dr Ste 111, Winter Garden, FL 34787-9558 2020-10-23
1760080212 Summit Health Multi Specialty of Florida LLC General Practice 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 2020-10-15
1376140772 Amy Wrenn General Practice 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 2020-10-08
1992302574 Avita Medical Clinic, LLC General Practice 14831 N Florida Ave, Tampa, FL 33613-1825 2020-10-06
1568069672 Ernesto Oscar Gonzalez Pupo General Practice 14420 Sw 22nd St, Miami, FL 33175-6338 2020-10-02
1508463779 Ashley Zanders Walton General Practice 75 Foxfire Ct, Quincy, FL 32351-7293 2020-10-01
1730796830 Brid M Wade General Practice 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 2020-09-23
1902412786 New Era Medical Pllc General Practice 628 Cleveland St Ste A, Clearwater, FL 33755-6603 2020-09-17
1417562414 Jl Laria Aprn Pa General Practice 5751a Sw 40th St, Miami, FL 33155-5301 2020-09-15
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Competitor

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City JUPITER
Zip Code 33458

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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