# LOREN J MILLER DPM PLC

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

## Provider details

- **NPI number:** 1851430672
- **Authorized official:** DR. LOREN J MILLER (PHYSICIAN)
- **Authorized official phone:** (727) 321-3100

## Contact information

- **Practice address:** 4167 5TH AVE N, ST PETERSBURG, FL 33713-6303
- **Practice address phone:** (727) 321-3100
- **Practice address fax:** (727) 327-6800
- **Mailing address:** 4167 5TH AVE N, ST PETERSBURG, FL 33713-6303
- **Mailing address phone:** (727) 321-3100
- **Mailing address fax:** (727) 327-6800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO1707 | FL | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 08/11/2011