Provider Demographics
NPI:1952582058
Name:MILLING, TANIA MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:TANIA
Middle Name:MARIE
Last Name:MILLING
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:151 SOUTHHALL LN
Mailing Address - Street 2:STE 300
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7172
Mailing Address - Country:US
Mailing Address - Phone:586-759-5525
Mailing Address - Fax:586-619-9028
Practice Address - Street 1:201 NW 82ND AVE
Practice Address - Street 2:S. 501
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-7808
Practice Address - Country:US
Practice Address - Phone:954-473-6750
Practice Address - Fax:954-424-7093
Is Sole Proprietor?:No
Enumeration Date:2007-11-16
Last Update Date:2018-01-08
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Provider Licenses
StateLicense IDTaxonomies
FLPA9104373363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant