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NPI Code Detail

MEDICARE: KEVIN CHARLES MILLS DPT

MEDICARE: KEVIN CHARLES MILLS DPT
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
1225100000XPhysical TherapistPT24837FL

General Provider Information

NPI Number : 1952628414
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN CHARLES MILLS DPT
Provider Business Mailing Address
First Line : 404 WASHINGTON AVE STE 120
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33139-6651
Country : US
Telephone Number : 305-479-2973
Fax Number : 305-735-7662
Provider Business Practice Location Address
First Line : 404 WASHINGTON AVE STE 120
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33139-6651
Country : US
Telephone Number : 305-479-2973
Fax Number : 305-735-7662
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2010
Last Update Date : 09/04/2023

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Directions to “ KEVIN CHARLES MILLS DPT” Practice Location

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