Provider Demographics
NPI:1144018680
Name:MILSTEIN, ADAM (AG-ACNP- BC, APRN)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:MILSTEIN
Suffix:
Gender:M
Credentials:AG-ACNP- BC, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4498 NW 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3677
Mailing Address - Country:US
Mailing Address - Phone:714-292-1226
Mailing Address - Fax:
Practice Address - Street 1:4701 N FEDERAL HWY STE B
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4608
Practice Address - Country:US
Practice Address - Phone:954-928-1778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11038728363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty