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Individual

SHAMAAL M MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 N 12TH ST, APT. 1816, TAMPA, FL 33602-3661
(912) 257-6419
Mailing address
111 N 12TH ST, APT. 1816, TAMPA, FL 33602-3661
(912) 257-6419

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA09360700
NJ
207L00000X
Anesthesiology Physician
Primary
MD448084
PA
207L00000X
Anesthesiology Physician
ME122651
FL

Other

Enumeration date
04/08/2009
Last updated
12/22/2016
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