# LOREN J MILLER DPM PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033121306
- **Authorized official:** DR. LOREN J MILLER DPM (OWNER)
- **Authorized official phone:** (727) 544-5425

## Contact information

- **Practice address:** 5415 PARK ST N, SUITE C, ST PETERSBURG, FL 33709-1087
- **Practice address phone:** (727) 544-5425
- **Practice address fax:** (727) 544-5440
- **Mailing address:** 5415 PARK ST N, SUITE C, ST PETERSBURG, FL 33709-1087
- **Mailing address phone:** (727) 544-5425
- **Mailing address fax:** (727) 544-5440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PO1707 | FL | Yes |

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 10/30/2007