Individual
DR. JEROLD A MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3181 N STATE ROAD 7, MARGATE, FL 33063-7006
(954) 974-7695
(954) 974-4211
Mailing address
2770 N PALM AIRE DR, POMPANO BEACH, FL 33069-3403
(954) 974-7695
(954) 974-4277
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 1042
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620819300
—
FL
Enumeration date
02/22/2007
Last updated
07/08/2007
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