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Individual
ROBERT ROY MILES
Active
Individual
ROBERT ROY MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0005118
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063213900
—
FL
01
—
104667
INSURANCE ID
FL
01
—
2025562
INSURANCE ID
FL
01
—
202564
INSURANCE ID
FL
01
—
593623361
TAX ID
FL
Enumeration date
01/23/2007
Last updated
05/29/2012
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