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NPI Code Detail

MEDICARE: MITCHELL B MILLER M.D.

MEDICARE: MITCHELL B 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
1207Y00000XOtolaryngology PhysicianME66201FL
2207YS0012XSleep Medicine (Otolaryngology) PhysicianME66201FL

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 : 1952451866
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITCHELL B MILLER M.D.
Provider Business Mailing Address
First Line : 1330 S FORT HARRISON AVE
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-3313
Country : US
Telephone Number : 727-441-3588
Fax Number : 727-461-1038
Provider Business Practice Location Address
First Line : 1330 S FORT HARRISON AVE
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-3313
Country : US
Telephone Number : 727-441-3588
Fax Number : 727-461-1038
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 05/11/2017

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Directions to “ MITCHELL B MILLER M.D.” Practice Location

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