Individual
DR. LOREN JEFFERY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4167 5TH AVE N, ST PETERSBURG, FL 33713-6303
(727) 321-3100
(727) 327-6800
Mailing address
4167 5TH AVE N, ST PETERSBURG, FL 33713-6303
(727) 321-3100
(727) 327-6800
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
P01707
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO1707
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029772100
—
FL
Enumeration date
05/04/2006
Last updated
12/26/2014
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