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Individual

THERESA ANN MILLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1879 NIGHTINGALE LN, SUITE C-1, TAVARES, FL 32778-4363
(352) 742-1171
(352) 253-1357
Mailing address
1879 NIGHTINGALE LN, SUITE C-1, TAVARES, FL 32778-4363
(352) 742-1171
(352) 253-1357

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0069325
FL
207R00000X
Internal Medicine Physician
0069325
FL
207RC0000X
Cardiovascular Disease Physician
Primary
0069325
FL
207RI0011X
Interventional Cardiology Physician
0069325
FL
207UN0901X
Nuclear Cardiology Physician
0069325
FL

Other

Enumeration date
11/06/2006
Last updated
05/15/2013
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