Organization
MILES ABOVE RPH
Active
Other names
PHI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOVAN MILES PHARM.D. (OWNER)
(904) 699-6478
Entity
Organization
Contact information
Practice address
1909 HILLBROOKE TRL, SUITE 1, TALLAHASSEE, FL 32311-7901
(850) 222-1963
(850) 224-9356
Mailing address
275 JOHN KNOX RD, #JJ204, TALLAHASSEE, FL 32303-6614
(904) 699-6478
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
PS46979
FL
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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