Individual
MS. JAIME NOELLE MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2189 ORCHID ST, SARASOTA, FL 34239-5221
(941) 726-7179
Mailing address
708 SE 15TH ST, UNIT 8, FT LAUDERDALE, FL 33316-2645
(941) 726-7179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12765
FL
363AM0700X
Medical Physician Assistant
Primary
9109892
FL
Other
Enumeration date
08/10/2016
Last updated
10/14/2020
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