Individual
WILLIAM DWIGHT MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 974-2201
(813) 974-4325
Mailing address
PO BOX 91770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A129739
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036142641
IL
207RP1001X
Pulmonary Disease Physician
036142641
IL
207RP1001X
Pulmonary Disease Physician
Primary
ME148871
FL
208M00000X
Hospitalist Physician
A129739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110653800
MEDICAID
FL
01
—
ZEBFE
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/20/2012
Last updated
07/21/2022
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