Individual
DR. MICHAEL LEE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 RACETRACK RD NE, SUITE E4, FORT WALTON BEACH, FL 32547-1882
(850) 200-4574
Mailing address
4607 CHANAN DRIVE, CRESTVIEW, FL 32539
(850) 682-2596
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
023433
LA
2086S0129X
Vascular Surgery Physician
Primary
ME98427
FL
Other
Enumeration date
03/16/2006
Last updated
01/09/2012
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