Individual
ROGER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2955 BROWNWOOD BLVD STE 100, THE VILLAGES, FL 32163-2040
(352) 492-0156
Mailing address
2955 BROWNWOOD BLVD STE 100, THE VILLAGES, FL 32163-2040
(352) 492-0156
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1740
CO
2084P0800X
Psychiatry Physician
Primary
PY10715
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023869
MEDICAID OPTIONS
CO
Enumeration date
12/29/2005
Last updated
05/12/2026
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