Healthcare Provider Details

I. General information

NPI: 1609876184
Provider Name (Legal Business Name): LORN SCOTT MILLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2005
Last Update Date: 10/03/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9401 SW HIGHWAY 200 STE 301
OCALA FL
34481-9648
US

IV. Provider business mailing address

9401 SW HIGHWAY 200 STE 301
OCALA FL
34481-9648
US

V. Phone/Fax

Practice location:
  • Phone: 352-291-9459
  • Fax: 352-291-9465
Mailing address:
  • Phone: 352-291-9459
  • Fax: 352-291-9465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number00021488
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME127827
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: