Miles, J. Robert
Miles, J. Robert is an sole proprietor health care provider with primary practice located at 402 Dort St , Plant City FL 33563-4318. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Miles, J. Robert can be contacted via phone (813) 752-3174.Contact Information
Primary practice address
402 Dort St
Plant City FL 33563-4318
Phone: (813) 752-3174
Fax: (813) 659-3958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | 592344222 | Florida |
Profile Details
| NPI number | 1619975190 |
|---|---|
| LBN Legal business name | Miles, J. Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Dec 14th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619975190 | NPPES |
| Florida | MEDICAID | 054796400 |
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