Individual
MEGAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073
(904) 639-8500
Mailing address
100 MAGNOLIA ST APT 7108, JACKSONVILLE, FL 32204-2259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
081470
GA
207P00000X
Emergency Medicine Physician
81407
GA
207P00000X
Emergency Medicine Physician
Primary
ME139939
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
06/06/2019
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