Organization
LOREN J MILLER DPM PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOREN J MILLER DPM (OWNER)
(727) 544-5425
Entity
Organization
Contact information
Practice address
5415 PARK ST N, SUITE C, ST PETERSBURG, FL 33709-1087
(727) 544-5425
(727) 544-5440
Mailing address
5415 PARK ST N, SUITE C, ST PETERSBURG, FL 33709-1087
(727) 544-5425
(727) 544-5440
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PO1707
FL
Other
Enumeration date
08/13/2006
Last updated
10/30/2007
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