Healthcare Provider Details

I. General information

NPI: 1861067837
Provider Name (Legal Business Name): DARRIN CHRISTOPHER MILLER MD, MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2021
Last Update Date: 05/23/2021
Certification Date: 05/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4108 WOODSIDE MANOR DR
TAMPA FL
33624-6715
US

IV. Provider business mailing address

4108 WOODSIDE MANOR DR
TAMPA FL
33624-6715
US

V. Phone/Fax

Practice location:
  • Phone: 813-493-0003
  • Fax:
Mailing address:
  • Phone: 813-493-0003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: