Individual
DR. BAYARD DODGE MILLER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 CENTERVILLE RD, SUITE 504, TALLAHASSEE, FL 32308-4647
(850) 431-5037
(850) 431-6101
Mailing address
1401 CENTERVILLE RD, SUITE 504, TALLAHASSEE, FL 32308-4647
(850) 431-5037
(850) 431-6101
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2013-01015
NC
2084N0400X
Neurology Physician
Primary
ME24871
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059244700
—
FL
01
—
17377
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/09/2006
Last updated
03/10/2016
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