Individual
DR. DAVID R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4860 S PRICES PT, HOMOSASSA, FL 34448-3740
(352) 597-1960
(352) 597-9470
Mailing address
4860 S PRICES PT, HOMOSASSA, FL 34448-3740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS6159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372761100
—
FL
01
—
80537
BCBS
FL
01
—
80537Y
MEDICARE PTAN # 80537Y
FL
Enumeration date
06/01/2005
Last updated
11/16/2020
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