Healthcare Provider Details

I. General information

NPI: 1497804470
Provider Name (Legal Business Name): DEAN&MILLER,MD'S,PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 01/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 N CAUSEWAY
NEW SMYRNA BEACH FL
32169-5235
US

IV. Provider business mailing address

415 N CAUSEWAY
NEW SMYRNA BEACH FL
32169-5235
US

V. Phone/Fax

Practice location:
  • Phone: 386-427-4143
  • Fax: 386-427-0711
Mailing address:
  • Phone: 386-427-4143
  • Fax: 386-427-0711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number44295
License Number StateFL

VIII. Authorized Official

Name: DR. DANIEL FRANKLIN MILLER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 386-427-4143