MEDICARE: EMILIYA S HILL MD

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	207Q00000X	Family Medicine Physician	RL10244	ND
2	208VP0000X	Pain Medicine Physician	ME105043	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124207931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILIYA S HILL MD

Provider Business Mailing Address
First Line	:	3822 BROADWAY
Second Line	:	SUITES A-C
City	:	FORT MYERS
State	:	FL
Zip	:	33901-8148
Country	:	US
Telephone Number	:	239-274-3004
Fax Number	:	239-274-6007

Provider Business Practice Location Address
First Line	:	3822 BROADWAY
Second Line	:	SUITES A-C
City	:	FORT MYERS
State	:	FL
Zip	:	33901-8148
Country	:	US
Telephone Number	:	239-274-3004
Fax Number	:	239-274-6007

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

Provider Enumeration Date	:	10/29/2007
Last Update Date	:	10/18/2011

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Directions to “ EMILIYA S HILL MD” Practice Location

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