Individual
DR. JESSICA L MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1032 MAR WALT DR UNIT 220, FORT WALTON BEACH, FL 32547-6661
(850) 374-9610
(850) 374-9611
Mailing address
1032 MAR WALT DR UNIT 220, FORT WALTON BEACH, FL 32547-6661
(850) 374-9610
(850) 374-9611
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
95422
SC
208600000X
Surgery Physician
LL82180
SC
208600000X
Surgery Physician
OS23209
FL
2086S0102X
Surgical Critical Care Physician
Primary
OS23209
FL
Other
Enumeration date
05/14/2019
Last updated
04/29/2026
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