Miller, Keith L.

Miller, Keith L. is an individual health care provider with primary practice located at 7341 Gladiolus Dr , Fort Myers FL 33908-5122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Miller, Keith L. can be contacted via phone (239) 489-3420.

Contact Information

Primary practice address
7341 Gladiolus Dr Fort Myers FL 33908-5122
Phone: (239) 489-3420
Fax: (239) 489-3219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME0059278 Florida

Profile Details

NPI number 1356348072
LBN Legal business name Miller, Keith L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 18th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356348072 NPPES
Florida Other 01939 UNIVERSAL HLTHCR. PROV. #
Florida Other 01939 UNIVERSAL HLTHCR. PROV. #
Florida Other 15953 UNIVERSAL HLTHCR. PROV. #
Florida Other 592485899 UNIVERSAL HLTHCR. PROV. #
Florida Other ME59278A UNIVERSAL HLTHCR. PROV. #
Florida Other 1664782-005 UNIVERSAL HLTHCR. PROV. #
Florida Other 207227 UNIVERSAL HLTHCR. PROV. #
Florida MEDICAID 269805600 UNIVERSAL HLTHCR. PROV. #
Florida Other 4247093 UNIVERSAL HLTHCR. PROV. #
Florida Other 12170 UNIVERSAL HLTHCR. PROV. #
Florida Other 99885 UNIVERSAL HLTHCR. PROV. #

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