Provider Demographics
NPI:1063808400
Name:AUGUSTE, MILHENKA (MD)
Entity type:Individual
Prefix:
First Name:MILHENKA
Middle Name:
Last Name:AUGUSTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7808 NW 61ST TER
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-5107
Mailing Address - Country:US
Mailing Address - Phone:954-675-1455
Mailing Address - Fax:561-837-5190
Practice Address - Street 1:345 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445
Practice Address - Country:US
Practice Address - Phone:561-274-3100
Practice Address - Fax:561-274-3103
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-13
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13675 I208D00000X
PR19126208D00000X
FLACN731208D00000X
FLME165201207Q00000X
FLTRN32437390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL019444700Medicaid