Individual
DR. J. ROBERT MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
402 DORT ST, PLANT CITY, FL 33563-4318
(813) 752-3174
(813) 659-3958
Mailing address
402 DORT ST, PLANT CITY, FL 33563-4318
(813) 752-3174
(813) 659-3958
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
592344222
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054796400
—
FL
Enumeration date
07/08/2005
Last updated
12/14/2010
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