Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Weston Blake Mills, PA-C

Individual provider Physician Assistant · NPI 1174123541

Weston Blake Mills, PA-C is a Physician Assistant in St Johns, Florida. Licensed in Arizona, California, Connecticut and Florida and 5 more. Registered with an NPI since 2020.

Licensed in
AZ, CA, CT, FL, GA, IL
In the registry since
2020
Specialties on file
9
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1820 State Road 13 N Ste 11-926
St Johns, FL 32259-8856
Phone: (888) 730-5220
Fax: (888) 524-8166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA62842 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 85.009903 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 030013 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 526 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 7329 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 11779 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 9724 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 110009096 (VA)
Physician Assistant Taxonomy 363A00000X · Licence PA16952 (TX)

Record details

NPI number1174123541
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 27, 2020
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

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