Individual
MR. MATTHEW MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7544 JACQUE RD, HUDSON, FL 34667-7162
(727) 697-2200
(727) 857-4352
Mailing address
7544 JACQUE RD, HUDSON, FL 34667-7162
(727) 697-2200
(727) 857-4352
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9107481
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9107481
FL
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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