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Organization

DAVID A MILLER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID A MILLER JR. MD (CEO)
(561) 204-3620
Entity
Organization

Contact information

Practice address
12977 SOUTHERN BLVD, SUITE202, LOXAHATCHEE, FL 33470-9255
(561) 204-3620
(561) 204-3621
Mailing address
12977 SOUTHERN BLVD, SUITE 202, LOXAHATCHEE, FL 33470-9255
(561) 204-3620
(561) 204-3621

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME48584
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
258046200
FL
Enumeration date
05/04/2006
Last updated
06/22/2010
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