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Individual

RICHARD S MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2000 SR 60 EAST, LAKE WALES, FL 33898-5182
(863) 679-1915
(863) 679-1634
Mailing address
2000 SR 60 EAST, LAKE WALES, FL 33898-5182
(863) 676-6076
(863) 679-1634

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC001041
FL

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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