Provider Demographics
NPI:1194463653
Name:MILLS, ANGELA D (RVS)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:D
Last Name:MILLS
Suffix:
Gender:F
Credentials:RVS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:127 KINGS WAY
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1567
Mailing Address - Country:US
Mailing Address - Phone:561-346-4511
Mailing Address - Fax:866-602-4994
Practice Address - Street 1:127 KINGS WAY STE 440
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1567
Practice Address - Country:US
Practice Address - Phone:561-346-4511
Practice Address - Fax:866-602-4994
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL000675222471V0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography