Individual
KEITH L. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7341 GLADIOLUS DR, FORT MYERS, FL 33908-5122
(239) 489-3420
(239) 489-3219
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME0059278
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01939
UNIVERSAL HLTHCR. PROV. #
FL
01
—
12170
BCBS PROVIDER NUMBER
FL
01
—
15953
WELLCARE
FL
01
—
1664782-005
CIGNA PROVIDER NUMBER
FL
01
—
207227
AMERIGROUP GROUP NUMBER
FL
05
—
269805600
—
FL
01
—
4247093
AETNA PROVIDER NUMBER
FL
01
—
592485899
METCARE VENDOR ID #
FL
01
—
99885
OP. ENG. LOC. 825 PROV. #
FL
01
—
ME59278A
METCARE PROVIDER NUMBER
FL
Enumeration date
07/07/2005
Last updated
04/18/2017
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