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Individual

ANTONIO MARTINO MILLS

Active
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Individual

ANTONIO MARTINO MILLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
50.002853
OH
363AS0400X
Surgical Physician Assistant
Primary
50.002853
OH
363AS0400X
Surgical Physician Assistant
PA 9104107
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2929333 00
FL
Enumeration date
05/14/2007
Last updated
07/10/2013
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