Miller, Stephen Kerry

Miller, Stephen Kerry is an sole proprietor health care provider with primary practice located at 2007 Harrison Ave Ste A, Panama City FL 32405-4545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Miller, Stephen Kerry can be contacted via phone (850) 872-0835.

Contact Information

Primary practice address
2007 Harrison Ave Ste A Panama City FL 32405-4545
Fax: (850) 784-9154
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0057317 Florida

Profile Details

NPI number 1457349276
LBN Legal business name Miller, Stephen Kerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2005
Last updated May 3rd, 2010 - about 14 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 1457349276 NPPES
Florida MEDICAID 063521900

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