MEDICARE: VICTORIA MILLWARD LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	103384	FL

General Provider Information

NPI Number	:	1053264143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA MILLWARD LMT

Provider Business Mailing Address
First Line	:	7175 E APRIL CT
Second Line	:
City	:	FLORAL CITY
State	:	FL
Zip	:	34436-3694
Country	:	US
Telephone Number	:	352-503-8101
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 W MAIN ST STE 309
Second Line	:
City	:	INVERNESS
State	:	FL
Zip	:	34450-4807
Country	:	US
Telephone Number	:	352-503-8101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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Directions to “ VICTORIA MILLWARD LMT” Practice Location

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