Miller, Earl Norman

Miller, Earl Norman is an individual health care provider with primary practice located at 10475 Centurion Pkwy N Suite 220, Jacksonville FL 32256-5003. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Miller, Earl Norman can be contacted via phone (904) 634-0640.

Contact Information

Primary practice address
10475 Centurion Pkwy N Suite 220 Jacksonville FL 32256-5003
Phone: (904) 634-0640
Fax: (904) 634-0203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9100657 Florida

Profile Details

NPI number 1962474890
LBN Legal business name Miller, Earl Norman
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2006
Last updated Oct 9th, 2023 - about 3 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 1962474890 NPPES
Florida MEDICAID 2909928-00
Florida Other Y03P5
Florida MEDICAID 363707110A

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