Individual
JILL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. PHD
Contact information
Practice address
1333 PINE ST, MELBOURNE, FL 32901-3116
(321) 984-9400
(321) 984-0150
Mailing address
1333 PINE ST, MELBOURNE, FL 32901-3116
(321) 984-9400
(321) 984-0150
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME103208
FL
2084N0400X
Neurology Physician
Primary
ME103208
FL
208M00000X
Hospitalist Physician
ME103208
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124378200
—
FL
01
—
TX053
MEDICARE HF
FL
Enumeration date
09/28/2006
Last updated
11/22/2024
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