Provider Demographics
NPI:1043223969
Name:MILLS, ROBERT H
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:H
Last Name:MILLS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4725 N FEDERAL HWY
Mailing Address - Street 2:ORTHOPAEDIC CENTER
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4603
Mailing Address - Country:US
Mailing Address - Phone:954-958-4000
Mailing Address - Fax:954-958-4899
Practice Address - Street 1:4725 N FEDERAL HWY
Practice Address - Street 2:ORTHOPAEDIC CENTER
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4603
Practice Address - Country:US
Practice Address - Phone:954-958-4000
Practice Address - Fax:954-958-4899
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME66860207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL376438900Medicaid
FL25901Medicare ID - Type Unspecified
FLE57200Medicare UPIN