Individual
BLAKE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5749 WESTGATE DR, SUIT 102, ORLANDO, FL 32835-5040
(321) 441-8615
Mailing address
5749 WESTGATE DR, SUIT 102, ORLANDO, FL 32835-5040
(321) 441-8615
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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