MEDICARE: MATTHEW FREDERICK MILLS DO

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	2084P0800X	Psychiatry Physician	19265	FL
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1730718453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW FREDERICK MILLS DO

Provider Business Mailing Address
First Line	:	7201 N UNIVERSITY DR
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-2913
Country	:	US
Telephone Number	:	954-721-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	6071 E WOODMEN RD STE 200
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-2609
Country	:	US
Telephone Number	:	720-712-0300
Fax Number	:

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

Provider Enumeration Date	:	04/04/2020
Last Update Date	:	02/05/2026

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