Miller, Deevid
Miller, Deevid is an individual health care provider with primary practice located at 1665 Kingsley Ave Suite 105, Orange Park FL 32073-4490. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Miller, Deevid can be contacted via phone (904) 215-7015.Contact Information
Primary practice address
1665 Kingsley Ave Suite 105
Orange Park FL 32073-4490
Phone: (904) 215-7015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME49532 | Florida |
Profile Details
| NPI number | 1942202577 |
|---|---|
| LBN Legal business name | Miller, Deevid |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jun 1st, 2016 - about 8 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 | 1942202577 | NPPES |
| Florida | MEDICAID | 045301300 |
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