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NPI Code Detail

MEDICARE: EMILY MILLER

MEDICARE: EMILY MILLER
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
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1063981751
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY MILLER
Provider Business Mailing Address
First Line : 401 W KENNEDY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33606-1490
Country : US
Telephone Number : 267-265-0116
Fax Number :
Provider Business Practice Location Address
First Line : 401 W KENNEDY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33606-1490
Country : US
Telephone Number : 267-265-0116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2018
Last Update Date : 11/25/2018

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Directions to “ EMILY MILLER ” Practice Location

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