Organization
FLORIDA OPHTHALMIC AFFILIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MICHAEL MILLS MD (OWNER)
(855) 989-2020
Entity
Organization
Contact information
Practice address
1300 SHORELINE DRIVE, SUITE 104, GULF BREEZE, FL 32561-4766
(855) 989-2020
(855) 290-5952
Mailing address
348 MIRACLE STRIP PKWY SW, SUITE 38, FORT WALTON BEACH, FL 32548-5200
(855) 989-2020
(855) 989-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME85614
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
ME85614
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006482200
—
FL
05
—
006482201
—
FL
Enumeration date
08/13/2012
Last updated
07/16/2013
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