Healthcare Provider Details

I. General information

NPI: 1710689476
Provider Name (Legal Business Name): JOSEPH TAYLOR MILLER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 MADISON ST
NEW PORT RICHEY FL
34652-1971
US

IV. Provider business mailing address

6600 MADISON ST
NEW PORT RICHEY FL
34652-1971
US

V. Phone/Fax

Practice location:
  • Phone: 812-319-6783
  • Fax:
Mailing address:
  • Phone: 812-319-6783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberTRN44771
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: