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NPI Code Detail

MEDICARE: COLE MILLER PA-C

MEDICARE: COLE MILLER PA-C
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
1363A00000XPhysician AssistantPA9117339FL

General Provider Information

NPI Number : 1295436764
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLE MILLER PA-C
Provider Business Mailing Address
First Line : 4215 BURNS RD STE 200
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-4625
Country : US
Telephone Number : 561-694-7776
Fax Number : 561-694-3099
Provider Business Practice Location Address
First Line : 4215 BURNS RD STE 100
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-4627
Country : US
Telephone Number : 561-694-7776
Fax Number : 561-694-3099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2023
Last Update Date : 04/06/2026

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1699797928 — DR. BRET O BAYNHAM M.D.
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Directions to “ COLE MILLER PA-C” Practice Location

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