| David A Miller | |
|
12977 Southern Blvd Suite202 Loxahatchee FL 33470-9255 | |
| (561) 204-3620 | |
| (561) 204-3621 |
| Full Name | David A Miller |
|---|---|
| Speciality | Family Medicine |
| Location | 12977 Southern Blvd, Loxahatchee, Florida |
| Authorized Official Name and Position | David A Miller (CEO) |
| Authorized Official Contact | 5612043620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David A Miller 12977 Southern Blvd Suite 202 Loxahatchee FL 33470-9255 Ph: (561) 204-3620 | David A Miller 12977 Southern Blvd Suite202 Loxahatchee FL 33470-9255 Ph: (561) 204-3620 |
| NPI Number | 1194773895 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 06/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194773895 | NPI | - | NPPES |
| 258046200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME48584 (Florida) | Primary |
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