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Individual

EARL NORMAN MILLER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
10475 CENTURION PKWY N STE 301, JACKSONVILLE, FL 32256-5004
(904) 634-0640
(904) 634-0203
Mailing address
6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 32216-8203
(904) 634-0640
(904) 634-0203

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9100657
FL
363AS0400X
Surgical Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
108011300
FL
05
2909928-00
FL
05
363707110A
GA
01
Y03P5
BCBS
FL
Enumeration date
02/04/2006
Last updated
07/28/2025
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