Healthcare Provider Details

I. General information

NPI: 1447412416
Provider Name (Legal Business Name): HILAREE BROOKE MILLIRON D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3754 HIGHWAY 90 STE 230
PACE FL
32571-1098
US

IV. Provider business mailing address

3754 HIGHWAY 90 STE 230
PACE FL
32571-1098
US

V. Phone/Fax

Practice location:
  • Phone: 850-299-4345
  • Fax: 850-299-4345
Mailing address:
  • Phone: 850-299-4345
  • Fax: 850-299-4375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number133
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO3453
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: