Individual
DR. CLINT D. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11761 BEACH BLVD, SUITE 8, JACKSONVILLE, FL 32246-6615
(904) 642-3304
(904) 928-3561
Mailing address
11761 BEACH BLVD, SUITE 8, JACKSONVILLE, FL 32246-6615
(904) 642-3304
(904) 928-3561
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CH6086
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051010600
—
FL
Enumeration date
05/12/2006
Last updated
03/20/2013
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