MEDICARE: DR. DARRYL 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
1	207RC0000X	Cardiovascular Disease Physician	35075929M	OH

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	000000325015	OTHER		ANTHEM
3	34192070200	OTHER	OH	BWC
4	7841380	OTHER		AETNA HMO/NON HMO
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699883538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARRYL MILLER MD

Provider Business Mailing Address
First Line	:	525 OKEECHOBEE BLVD
Second Line	:	SUITE 1400
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-6349
Country	:	US
Telephone Number	:	561-804-0200
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 OKEECHOBEE BLVD
Second Line	:	SUITE 1400
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-6349
Country	:	US
Telephone Number	:	561-804-0200
Fax Number	:

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	11/29/2011

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Directions to “ DR. DARRYL MILLER MD” Practice Location

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