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NPI Code Detail

MEDICARE: MR. JOHN BLAINE MILLER DC

MEDICARE:  MR. JOHN BLAINE MILLER  DC
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
1111N00000XChiropractorCH1539FL

General Provider Information

NPI Number : 1932263050
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN BLAINE MILLER DC
Provider Business Mailing Address
First Line : 25306 OAKS BLVD
Second Line :
City : LAND O LAKES
State : FL
Zip : 34639-5547
Country : US
Telephone Number : 813-907-7852
Fax Number : 813-856-4587
Provider Business Practice Location Address
First Line : 2904 W COLUMBUS DR
Second Line :
City : TAMPA
State : FL
Zip : 33607-2216
Country : US
Telephone Number : 813-879-6500
Fax Number : 813-879-6004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2006
Last Update Date : 08/05/2009

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Directions to “ MR. JOHN BLAINE MILLER DC” Practice Location

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