MEDICARE: DR. ANN MARIE MILLAR DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	PO2402	FL
2	213E00000X	Podiatrist	P02402	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043211964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN MARIE MILLAR DPM

Provider Business Mailing Address
First Line	:	1609 NW 14TH AVENUE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125
Country	:	US
Telephone Number	:	305-710-0725
Fax Number	:	786-363-8820

Provider Business Practice Location Address
First Line	:	1609 NW 14TH AVENUE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125
Country	:	US
Telephone Number	:	305-710-0725
Fax Number	:	786-363-8820

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	08/13/2013

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