Individual
DR. CHRISTINE P MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
13600 ICOT BLVD BLDG B, CLEARWATER, FL 33760-3703
(888) 290-6321
(727) 669-8417
Mailing address
13600 ICOT BLVD BLDG B, CLEARWATER, FL 33760-3703
(888) 290-6321
(727) 669-8417
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003149383A
—
GA
05
—
012326400
—
FL
05
—
1027113900001
—
PA
01
—
241402NSG
MEDICARE GROUP MEMBER PTAN
PA
Enumeration date
03/12/2012
Last updated
12/06/2016
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