Individual
DR. JACK MILETIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
944 REGAL RD, ENCINITAS, CA 92024-4634
(872) 231-3162
Mailing address
PO BOX 7410882, CHICAGO, IL 60674-0882
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
A102672
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME106247
FL LICENSE
FL
Enumeration date
02/12/2008
Last updated
10/10/2025
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