Individual
MR. CASEY LOGAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-2757
(352) 273-8610
Mailing address
311 N CLYDE MORRIS BLVD STE 440, DAYTONA BEACH, FL 32114-2757
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11031646
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11031646
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121726600
—
FL
Enumeration date
03/07/2024
Last updated
04/11/2024
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