Healthcare Provider Details

I. General information

NPI: 1356220768
Provider Name (Legal Business Name): AARON NATHANIAL MILLS APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1907 S ALEXANDER ST STE 1
PLANT CITY FL
33566-0921
US

IV. Provider business mailing address

2675 WINKLER AVE STE 200
FORT MYERS FL
33901-9328
US

V. Phone/Fax

Practice location:
  • Phone: 813-754-3344
  • Fax: 813-754-3574
Mailing address:
  • Phone: 877-856-3774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11041967
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: