Individual provider · Type 1 NPI

Antonio Martino Mills, PA-C

Surgical Physician Assistant · Tampa, FL

NPI number 1073728705 Active

Practice location

12880 Commodity Pl
Tampa, FL 33626-3101

Fax (866) 462-7445

Mailing address

PO Box 21686
Tampa, FL 33622-1686

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA 9104107 (FL)
Surgical Physician Assistant Primary 363AS0400X50.002853 (OH)
Medical Physician Assistant 363AM0700X50.002853 (OH)

Surgical Physician Assistant: Definition to come...

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About NPI 1073728705

Antonio Martino Mills, PA-C's National Provider Identifier is 1073728705, issued on May 14, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tampa, FL. The record was last updated on Jul 10, 2013.