Miller, Loren Jeffery

Miller, Loren Jeffery is an individual health care provider with primary practice located at 4167 5Th Ave N , St Petersburg FL 33713-6303. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Miller, Loren Jeffery can be contacted via phone (727) 321-3100.

Contact Information

Primary practice address
4167 5Th Ave N St Petersburg FL 33713-6303
Phone: (727) 321-3100
Fax: (727) 327-6800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P01707 Florida
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO1707 Florida

Profile Details

NPI number 1285682344
LBN Legal business name Miller, Loren Jeffery
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Dec 26th, 2014 - about 10 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 1285682344 NPPES
Florida MEDICAID 029772100

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