MEDICARE: MILLER CHIROPRACTIC AND MEDICAL CENTERS INC

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	261Q00000X	Clinic/Center	HCC4585	FL

General Provider Information

NPI Number	:	1336274554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILLER CHIROPRACTIC AND MEDICAL CENTERS INC

Provider Business Mailing Address
First Line	:	720 E FLETCHER AVE
Second Line	:	SUITE 110
City	:	TAMPA
State	:	FL
Zip	:	33612-2639
Country	:	US
Telephone Number	:	813-903-2383
Fax Number	:	813-903-2385

Provider Business Practice Location Address
First Line	:	2942 W COLUMBUS DRIVE
Second Line	:	SUITE 101
City	:	TAMPA
State	:	FL
Zip	:	33607-2286
Country	:	US
Telephone Number	:	813-879-6500
Fax Number	:	813-879-6004

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MRS. SHERRY A MILLER
Credential	:
Telephone Number	:	813-903-2383

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	08/22/2020

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