Healthcare Provider Details

I. General information

NPI: 1407922685
Provider Name (Legal Business Name): QUINTESSA MILLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 E ROLLINS ST STE 8100
ORLANDO FL
32804-5574
US

IV. Provider business mailing address

265 E ROLLINS ST
ORLANDO FL
32804-5502
US

V. Phone/Fax

Practice location:
  • Phone: 407-821-3555
  • Fax:
Mailing address:
  • Phone: 407-821-3555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberN4589
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number025562
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberME122654
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: