Individual
MATTHEW KINGSFORD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13600 ICOT BLVD BLDG A, CLEARWATER, FL 33760-3703
(727) 796-6900
(727) 669-8417
Mailing address
415 7TH AVE N, TIERRA VERDE, FL 33715-1820
(727) 512-8741
(727) 669-8417
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO4450
FL
Other
Enumeration date
06/25/2019
Last updated
04/26/2023
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