Individual
SCOTT RICHARD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8725 N WICKHAM RD STE 301, MELBOURNE, FL 32940
(321) 434-9200
(321) 434-9202
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME119882
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012202500
—
FL
01
—
14V20
BCBS
FL
01
—
5401992
AETNA
FL
01
—
HX583X
FL HF MEDICARE
FL
01
—
HX583Y
FL HFPSI MEDICARE
FL
Enumeration date
04/07/2009
Last updated
11/03/2020
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