Individual
MILES V NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 N BYRON BUTLER PKWY, PERRY, FL 32347-2300
(850) 584-8404
(850) 584-3885
Mailing address
333 N BYRON BUTLER PKWY, PERRY, FL 32347-2300
(850) 584-8404
(850) 584-3885
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME55617
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061431900
—
FL
01
—
09189
BCBS FL
FL
Enumeration date
06/30/2006
Last updated
07/31/2025
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