MEDICARE: JAVIER MILLER, M.D

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	208000000X	Pediatrics Physician	ME0054205	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477951556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAVIER MILLER, M.D

Provider Business Mailing Address
First Line	:	1600 E MARKS ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-4156
Country	:	US
Telephone Number	:	407-896-4159
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 E MARKS ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-4156
Country	:	US
Telephone Number	:	407-896-4159
Fax Number	:

Authorized Official
Title or Position	:	MD.
Name	:	DR. JAVIER MILLER
Credential	:
Telephone Number	:	407-896-4159

Provider Enumeration Date	:	12/05/2014
Last Update Date	:	12/05/2014

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