Miller, Craig Allan

Miller, Craig Allan is an individual health care provider with primary practice located at 1400 Hand Ave Suite K, Ormond Beach FL 32174-8194. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miller, Craig Allan can be contacted via phone (386) 673-0517.

Contact Information

Primary practice address
1400 Hand Ave Suite K Ormond Beach FL 32174-8194
Phone: (386) 673-0517
Fax: (386) 671-2771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS7698 Florida

Profile Details

NPI number 1043291495
LBN Legal business name Miller, Craig Allan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Nov 2nd, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043291495 NPPES
Florida MEDICAID 260025100

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