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Organization
MILLER MEDICAL CARE LLC
Active
Organization
MILLER MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEDRA JOLYN MILLER A-APRN, FNP (FAMILY NURSE PRACTITIONER)
(727) 478-0648
Entity
Organization
Contact information
Practice address
5341 GRAND BLVD STE 105, NEW PORT RICHEY, FL 34652-4004
(727) 478-0648
(727) 478-0618
Mailing address
5341 GRAND BLVD STE 105, NEW PORT RICHEY, FL 34652-4004
(727) 478-0648
(727) 478-0618
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
261QA0005X
Ambulatory Family Planning Facility
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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