Individual
DR. DAVID ADDISON MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 HENLEY LN, BAKER, FL 32531-2702
(850) 969-7979
(850) 476-9352
Mailing address
PO BOX 17567, PENSACOLA, FL 32522-7567
(850) 969-7979
(850) 476-9352
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME36788
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009962390
MEDICAID
AL
05
—
065064100
—
FL
01
—
17475
BCBS OF FL
FL
01
—
2500248
UNITED HEALTHCARE
—
01
—
4040398
BC OF TENNESSEE
TN
01
—
5638025
AETNA
—
01
—
59166821MIL
BCBS OF ALABAMA
AL
01
—
NQ362
MEDICARE OF FL
FL
01
—
Q00062537
RAILROAD MEDICARE OF FL
FL
Enumeration date
10/14/2005
Last updated
05/21/2021
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