| Stephen Bodie Miller, PA-C | |
|
1950 Rockledge Blvd, Rockledge, FL 32955-3771 | |
| (321) 636-0005 | |
| (321) 636-9030 |
| Full Name | Stephen Bodie Miller |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1950 Rockledge Blvd, Rockledge, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164012282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (Florida) | Primary |
| Entity Name | Brevard Family Walk in Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134146046 PECOS PAC ID: 8224135843 Enrollment ID: O20070516000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Bodie Miller, PA-C 1950 Rockledge Blvd Ste 101, Rockledge, FL 32955-3763 Ph: (321) 636-0005 | Stephen Bodie Miller, PA-C 1950 Rockledge Blvd, Rockledge, FL 32955-3771 Ph: (321) 636-0005 |
Debra L Babcock, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 830 Executive Ln Ste 1110, Rockledge, FL 32955 Phone: 321-394-8000 Fax: 321-394-8002 |
Daniel Daniels, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 110 Longwood Ave, Rockledge, FL 32955 Phone: 800-476-8646 Fax: 919-382-3210 |
Mrs. Alexis Best, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1286 Florida Ave S Ste 1, Rockledge, FL 32955 Phone: 321-636-7780 Fax: 321-636-1152 |
Deven Metzger, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 110 Longwood Ave, Rockledge, FL 32955 Phone: 800-476-8646 Fax: 919-382-3210 |
Jacinta Jean Williams, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 Rockledge Blvd, Rockledge, FL 32955 Phone: 321-735-8960 |
Alexandra Ruby Bennett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 Barton Blvd Unit C-14, Rockledge, FL 32955 Phone: 321-241-6800 Fax: 321-241-6890 |
Mr. Jeffrey Howard Glatter, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6525 3rd St Ste 302, Rockledge, FL 32955 Phone: 321-241-1144 Fax: 321-806-3875 |