Individual
DR. KEVIN JAMES MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 TAMIAMI TRL S, SUITE 108, VENICE, FL 34285-4133
(941) 488-2332
(941) 894-6230
Mailing address
1101 TAMIAMI TRL S, SUITE 108, VENICE, FL 34285-4133
(941) 488-2332
(941) 894-6230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME72995
FL
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
ME72995
FL
Other
Enumeration date
10/24/2006
Last updated
04/11/2019
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