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Organization

BAY DERMATOLOGY AND COSMETIC SURGERY P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD A MILLER DO (CEO)
(727) 841-8505
Entity
Organization

Contact information

Practice address
8220 US HIGHWAY 19, PORT RICHEY, FL 34668-6639
(727) 841-8505
(727) 846-0561
Mailing address
8220 US HIGHWAY 19, PORT RICHEY, FL 34668-6639
(727) 841-8505
(727) 846-0561

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
10/18/2005
Last updated
12/16/2024
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