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NPI Code Detail

MEDICARE: DR. KEVIN JAMES MILLER M.D.

MEDICARE:  DR. KEVIN JAMES 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
1207Q00000XFamily Medicine PhysicianME72995FL
2207QA0401XAddiction Medicine (Family Medicine) PhysicianME72995FL

General Provider Information

NPI Number : 1750465910
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN JAMES MILLER M.D.
Provider Business Mailing Address
First Line : 1101 TAMIAMI TRL S
Second Line : SUITE 108
City : VENICE
State : FL
Zip : 34285-4133
Country : US
Telephone Number : 941-488-2332
Fax Number : 941-894-6230
Provider Business Practice Location Address
First Line : 1101 TAMIAMI TRL S
Second Line : SUITE 108
City : VENICE
State : FL
Zip : 34285-4133
Country : US
Telephone Number : 941-488-2332
Fax Number : 941-894-6230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 04/11/2019

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Directions to “ DR. KEVIN JAMES MILLER M.D.” Practice Location

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