Organization
REDI MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MILLER MD (OWNER)
(239) 566-1226
Entity
Organization
Contact information
Practice address
4550 EXECUTIVE DR, #104, NAPLES, FL 34119-8805
(239) 566-1226
(239) 566-2519
Mailing address
4550 EXECUTIVE DR, #104, NAPLES, FL 34119-8805
(239) 566-1226
(239) 566-2519
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME80489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51538A
BC/BS
LA
Enumeration date
08/13/2006
Last updated
04/17/2009
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