Individual
LOUIS EDWARD MIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1824 KING ST, SUITE 200, JACKSONVILLE, FL 32204-4735
(904) 384-3343
(904) 389-6748
Mailing address
1824 KING ST, SUITE 200, JACKSONVILLE, FL 32204-4735
(904) 384-3343
(904) 389-6748
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA1765
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292276200
—
FL
01
—
P00461165
MEDICARE RAILROAD
FL
Enumeration date
07/26/2006
Last updated
05/01/2008
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