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: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 CYPRESS VILLAGE BLVD
SUN CITY CENTER FL
33573-6828
US

IV. Provider business mailing address

920 CYPRESS VILLAGE BLVD
SUN CITY CENTER FL
33573-6828
US

V. Phone/Fax

Practice location:
  • Phone: 813-426-8265
  • Fax:
Mailing address:
  • Phone: 813-426-8265
  • 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: