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Organization
MILLER SURGICAL ASSISTING, LLC
Active
Organization
MILLER SURGICAL ASSISTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS DANIEL MILLER OA-C, CSFA (CEO)
(305) 814-6542
Entity
Organization
Contact information
Practice address
2307 W BROWARD BLVD STE 200, FORT LAUDERDALE, FL 33312-1417
(305) 814-6542
Mailing address
PO BOX 122131, FORT LAUDERDALE, FL 33312-0036
(305) 814-6542
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
NULL
246ZC0007X
Surgical Assistant
—
—
246ZX2200X
Orthopedic Assistant
—
NULL
246ZX2200X
Orthopedic Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/24/2014
Last updated
04/27/2017
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