Miller, Gary Lee

Miller, Gary Lee is an individual health care provider with primary practice located at 311 N Clyde Morris Blvd , Daytona Beach FL 32114-2781. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Miller, Gary Lee can be contacted via phone (352) 273-8610.

Contact Information

Primary practice address
311 N Clyde Morris Blvd Daytona Beach FL 32114-2781
Phone: (352) 273-8610
Fax: (352) 273-8612
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 066569 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN1787402 Florida

Profile Details

NPI number 1447297528
LBN Legal business name Miller, Gary Lee
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Feb 28th, 2022 - about 2 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 1447297528 NPPES
Georgia Other P00244931 RAILROAD MEDICARE
Georgia MEDICAID 890360748C RAILROAD MEDICARE
Georgia MEDICAID 890360748B RAILROAD MEDICARE
Georgia MEDICAID 890360748E RAILROAD MEDICARE
Georgia MEDICAID 890360748F RAILROAD MEDICARE

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