Individual
ANNIE TAYLOR MILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15420 CEMETERY RD, FORT MYERS, FL 33905-7532
(843) 992-4619
Mailing address
15420 CEMETERY RD, FORT MYERS, FL 33905-7532
(843) 992-4619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F12180445
FL
Other
Enumeration date
01/01/2019
Last updated
01/01/2019
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