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Individual

MATTHEW D MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1995 E OAKLAND PARK BLVD STE 310, FORT LAUDERDALE, FL 33306-1138
(954) 791-6146
Mailing address
PO BOX 936535, ATLANTA, GA 31193-6535

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
024326
NY
363A00000X
Physician Assistant
25MP00560200
NJ
363A00000X
Physician Assistant
PA9116836
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9116836
FL

Other

Enumeration date
11/18/2019
Last updated
08/02/2023
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