Healthcare Provider Details

I. General information

NPI: 1215315460
Provider Name (Legal Business Name): CATHERINE RACHAEL MILLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2015
Last Update Date: 05/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1851 NW 10TH AVE
MIAMI FL
33136-1054
US

IV. Provider business mailing address

1851 NW 10TH AVE
MIAMI FL
33136-1054
US

V. Phone/Fax

Practice location:
  • Phone: 305-545-2400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberBP10053403
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License NumberME138831
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: