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NPI Code Detail

MEDICARE: NANCY S MILLER MD

MEDICARE: NANCY S MILLER MD
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
1207V00000XObstetrics & Gynecology PhysicianME77838FL

Other Identifiers

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

General Provider Information

NPI Number : 1598779639
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY S MILLER MD
Provider Business Mailing Address
First Line : 4201 BELFORT ROAD
Second Line : FAMILY BIRTH PLACE, ST VINCENT'S SOUTHSIDE HOSPITAL
City : JACKSONVILLE
State : FL
Zip : 32216
Country : US
Telephone Number : 904-450-7778
Fax Number :
Provider Business Practice Location Address
First Line : 4201 BELFORT RD
Second Line : FAMILY BIRTH PLACE
City : JACKSONVILLE
State : FL
Zip : 32216-1431
Country : US
Telephone Number : 904-450-7778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 03/07/2016

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Directions to “ NANCY S MILLER MD” Practice Location

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