ANTONIO MARTINO MILLS PA-C NPI 1073728705

NPI Information

NPI: 1073728705
Provider Name: ANTONIO MARTINO MILLS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
12880 COMMODITY PL
TAMPA, FL
ZIP 33626
Phone: (813) 343-5500
Get Directions

Antonio Martino Mills, PA-C is a surgical physician assistant in Tampa, FL. Antonio Martino Mills, PA-C NPI is 1073728705. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12880 COMMODITY PL
TAMPA, FL
ZIP 33626-101
Phone: (813) 343-5500
Fax: (866) 462-7445

The NPI 1073728705 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 7/10/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA 9104107	FLORIDA	No
2	363AM0700X	Physician Assistant	Medical	50.002853	OHIO	No
3	363AS0400X	Physician Assistant	Surgical	50.002853	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	2929333 00	MEDICAID	FLORIDA
2	AE201Y	MEDICARE PIN	FLORIDA
3	AE201X	MEDICARE PIN	FLORIDA
4	AE201Z	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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