Individual
DOUGLAS S. MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3309 SW 34TH CIR, SUITE 101, OCALA, FL 34474-3392
(352) 237-0509
(352) 237-9808
Mailing address
PO BOX 848558, BOSTON, MA 02284-8558
(352) 237-0509
(352) 237-9808
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9323545
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003552100
—
FL
01
—
G00PX
BCBS OF FL
FL
01
—
P01030746
RAILROAD MEDICARE
FL
Enumeration date
11/04/2010
Last updated
08/28/2012
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