Individual
GINA M MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3820 CENTRAL AVE, ST PETERSBURG, FL 33711-1237
(727) 327-7656
Mailing address
4763 21ST AVE N, ST PETERSBURG, FL 33713-3103
(727) 327-7656
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN9337889
FL
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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