Miller, Jason Barbour
Miller, Jason Barbour is an individual health care provider with primary practice located at 1421 Malabar Rd Ne Ste 201 , Palm Bay FL 32907-2559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Miller, Jason Barbour can be contacted via phone (321) 434-3131.Contact Information
Primary practice address
1421 Malabar Rd Ne Ste 201
Palm Bay FL 32907-2559
Phone: (321) 434-3131
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 163701 | Florida |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | TRN27561 | Florida |
Profile Details
| NPI number | 1386130375 |
|---|---|
| LBN Legal business name | Miller, Jason Barbour |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2018 |
| Last updated | Aug 3rd, 2023 - about last year |
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 | 1386130375 | NPPES |
| Florida | MEDICAID | 118924700 | |
| Florida | Other | RC464 |
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