Provider Demographics
NPI:1609234814
Name:PATEL-MILLS, HANNA (PA-C)
Entity Type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:PATEL-MILLS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 LAKELAND HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-3065
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:924 CYPRESS VILLAGE BLVD STE A
Practice Address - Street 2:
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33573-6829
Practice Address - Country:US
Practice Address - Phone:813-633-6121
Practice Address - Fax:866-264-8519
Is Sole Proprietor?:No
Enumeration Date:2016-02-02
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA91100040363A00000X, 363A00000X
TXPA9110040363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant