Individual
MR. CONNOR IAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-4603
(954) 771-8000
Mailing address
120 NE 58TH ST, OAKLAND PARK, FL 33334-1804
(781) 267-5418
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9116300
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/19/2022
Last updated
02/03/2026
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