Individual
LESLIE WILLIAM MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, STC 5075, TAMPA, FL 33606-3603
(813) 259-0600
(813) 259-8676
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME108787
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME108787
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003001900
—
FL
01
—
14A9H
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/09/2006
Last updated
03/21/2011
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