Individual
ELIZABETH JEAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1055 SAXON BLVD, ORANGE CITY, FL 32763-8468
(386) 274-7800
(386) 274-7801
Mailing address
PO BOX 9430, DAYTONA BEACH, FL 32120-9430
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME112948
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005545200
—
FL
Enumeration date
07/06/2009
Last updated
03/08/2014
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