Individual
STEPHEN BODIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1950 ROCKLEDGE BLVD, ROCKLEDGE, FL 32955-3771
(321) 636-0005
(321) 636-9030
Mailing address
1950 ROCKLEDGE BLVD STE 101, ROCKLEDGE, FL 32955-3763
(321) 636-0005
(321) 636-9030
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
FL
Other
Enumeration date
01/22/2021
Last updated
05/28/2024
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