Individual
JOELLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 5TH ST S FL OCC2, ST PETERSBURG, FL 33701-4804
(727) 767-3333
Mailing address
601 5TH ST S FL OCC2, ST PETERSBURG, FL 33701-4804
(727) 767-3333
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
0101-053972
VA
2080P0202X
Pediatric Cardiology Physician
Primary
ME45310
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6714226
—
VA
05
—
6724588
—
VA
05
—
6736742
—
VA
05
—
6736751
—
VA
05
—
6736769
—
VA
05
—
6736777
—
VA
05
—
6739628
—
VA
Enumeration date
01/18/2006
Last updated
03/17/2018
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