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NPI Code Detail

MEDICARE: ROBERT ROY MILES D.O.

MEDICARE: ROBERT ROY MILES D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOS0005118FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22025562OTHERFLINSURANCE ID
3202564OTHERFLINSURANCE ID
4593623361OTHERFLTAX ID
5104667OTHERFLINSURANCE ID

General Provider Information

NPI Number : 1871647990
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT ROY MILES D.O.
Provider Business Mailing Address
First Line : 50 S BELCHER RD
Second Line : SUITE124
City : CLEARWATER
State : FL
Zip : 33765-3938
Country : US
Telephone Number : 727-443-4357
Fax Number : 727-443-4379
Provider Business Practice Location Address
First Line : 50 S BELCHER RD
Second Line : SUITE 124
City : CLEARWATER
State : FL
Zip : 33765-3938
Country : US
Telephone Number : 727-443-4357
Fax Number : 727-443-4379
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 05/29/2012

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