Individual
DR. ALAN EDWARD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1865 LIME ST, SUITE 101, FERNANDINA BEACH, FL 32034-4744
(904) 321-2422
(904) 321-2434
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
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME102751
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME102751
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002623200
—
FL
01
—
145A8
FLORIDA BLUE
FL
01
—
P00847538
MEDICARE RAILROAD
FL
Enumeration date
03/29/2007
Last updated
09/15/2022
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