Individual
KAMALA MADELLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
216 FOREST PARK CIR, PANAMA CITY, FL 32405-4915
(850) 769-9994
(850) 769-9995
Mailing address
216 FOREST PARK CIR, PANAMA CITY, FL 32405-4915
(850) 769-9994
(850) 769-9995
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA38642
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2226
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/30/2008
Last updated
06/30/2008
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