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NPI Code Detail

MEDICARE: PREMIER MILLER ORTHOPEDIC CENTERS, INC.

MEDICARE: PREMIER MILLER ORTHOPEDIC 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
1261Q00000XClinic/CenterHCC4116FL

General Provider Information

NPI Number : 1366630022
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER MILLER ORTHOPEDIC CENTERS, INC.
Provider Business Mailing Address
First Line : 25306 OAKS BLVD
Second Line :
City : LAND O LAKES
State : FL
Zip : 34639-5547
Country : US
Telephone Number : 813-903-2383
Fax Number :
Provider Business Practice Location Address
First Line : 2904 W COLUMBUS DR
Second Line :
City : TAMPA
State : FL
Zip : 33607-2216
Country : US
Telephone Number : 813-879-6500
Fax Number :
Authorized Official
Title or Position : SECRETARY
Name : MRS. SHERRY A MILLER
Credential :
Telephone Number : 813-903-2383
Provider Enumeration Date : 10/09/2007
Last Update Date : 04/10/2008

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Directions to “PREMIER MILLER ORTHOPEDIC CENTERS, INC. ” Practice Location

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