MEDICARE: DRAMMILLAR INC

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	213E00000X	Podiatrist	PO24202	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

General Provider Information

NPI Number	:	1811329980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRAMMILLAR INC

Provider Business Mailing Address
First Line	:	1609 NW 14TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-1619
Country	:	US
Telephone Number	:	305-507-9948
Fax Number	:	786-363-8820

Provider Business Practice Location Address
First Line	:	1609 NW 14TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-1619
Country	:	US
Telephone Number	:	305-507-9948
Fax Number	:	786-363-8820

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	DR. ANN MARIE MILLAR
Credential	:	DPM
Telephone Number	:	305-710-0725

Provider Enumeration Date	:	07/31/2013
Last Update Date	:	07/31/2013

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Directions to “DRAMMILLAR INC ” Practice Location

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