Individual
JORDAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD, BOX 100254, GAINESVILLE, FL 32610-0254
(352) 265-0077
(352) 265-6922
Mailing address
1600 SW ARCHER RD, BOX 100254, GAINESVILLE, FL 32610-0254
(352) 265-0077
(352) 265-6922
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2018-00268
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2014
Last updated
10/16/2018
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