Organization
CRAIG A. MILLER, DO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG ALLAN MILLER D.O. (OWNER/PRESIDENT)
(386) 852-3652
Entity
Organization
Contact information
Practice address
1400 HAND AVE, SUITE K, ORMOND BEACH, FL 32174-8194
(386) 852-3652
(386) 673-8009
Mailing address
1400 HAND AVE, SUITE K, ORMOND BEACH, FL 32174-8194
(386) 852-3652
(386) 673-8009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7698
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260025100
—
FL
Enumeration date
08/20/2006
Last updated
10/21/2014
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