MEDICARE: JARED 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
1	111N00000X	Chiropractor	CH15796	FL

General Provider Information

NPI Number	:	1386596039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JARED MILLER

Provider Business Mailing Address
First Line	:	16707 HUTCHISON RD
Second Line	:
City	:	ODESSA
State	:	FL
Zip	:	33556-2304
Country	:	US
Telephone Number	:	813-240-8710
Fax Number	:

Provider Business Practice Location Address
First Line	:	8400 113TH ST
Second Line	:
City	:	SEMINOLE
State	:	FL
Zip	:	33772-4131
Country	:	US
Telephone Number	:	727-201-4549
Fax Number	:

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

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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Directions to “ JARED MILLER ” Practice Location

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