Individual
DR. CARLY J MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1865 LIME ST, SUITE 100, FERNANDINA BEACH, FL 32034-4744
(904) 321-8400
(904) 321-8401
Mailing address
705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
(904) 282-6331
(904) 619-1080
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME103067
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006042200
—
FL
01
—
74264
BCBS
FL
Enumeration date
05/08/2007
Last updated
08/23/2022
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