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NPI 1689175200

NPI 1689175200 : JORDAN S MILLER DO : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1689175200
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    Entity Type          |    Individual 
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    Provider Name        |    JORDAN S MILLER DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/28/2018
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    Last Update Date     |    06/27/2025
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Provider Practice Location Address
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    Address Line         |    601 E ROLLINS ST 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32803-1248
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    Country              |    US
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    Telephone            |    407-303-5600
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    Fax                  |    319-384-6265
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Provider Business Mailing Address
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    Address Line         |    200 HAWKINS DR 
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    City                 |    IOWA CITY
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    State                |    IA
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    Zip                  |    52242-1009
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    Country              |    US
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    Telephone            |    319-356-2320
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    Fax                  |    319-384-6265
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    34.015484
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    DO-06201
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    License Number State |    IA
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