Individual
DR. PAULA M MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7125 MURRELL RD STE E, MELBOURNE, FL 32940-7999
(321) 434-9571
(321) 434-9275
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
232346
NY
207VG0400X
Gynecology Physician
Primary
ME135739
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024414800
—
FL
05
—
02551779
—
NY
01
—
JI567Z
FL MEDICARE NUMBER
FL
01
—
P02264888
RR MEDICARE
FL
Enumeration date
06/27/2005
Last updated
02/27/2020
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