MEDICARE: THOMAS MILLER CSFA, OA-C

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	246ZX2200X	Orthopedic Assistant
2	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1699105353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS MILLER CSFA, OA-C

Provider Business Mailing Address
First Line	:	3407 E BROWNSTONE CT
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83854-6312
Country	:	US
Telephone Number	:	305-814-6542
Fax Number	:

Provider Business Practice Location Address
First Line	:	2307 W BROWARD BLVD STE 200
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-1417
Country	:	US
Telephone Number	:	305-814-6542
Fax Number	:

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

Provider Enumeration Date	:	11/17/2013
Last Update Date	:	03/02/2023

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