Donald Miller, PA-C
Physician Assistant in Orlando, FL. Individual provider (NPI-1).
NPI number1194765321
StatusActive
Last updated in NPPESJul 1, 2022
Details
- NPI
- 1194765321
- Entity type
- Individual (NPI-1)
- Name
- Donald Miller
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2006
- Certification date
- Jul 1, 2022
- Last updated
- Jul 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9114520 | FL | Yes |
| 363A00000X | Physician Assistant | MA003004L | PA |
Practice location
7975 Lake Underhill RdOrlando, FL 32822-8202
Phone 844-407-4070 · Fax 407-743-3050
Mailing address
833 Chestnut StPhiladelphia, PA 19107-4414
Phone 800-321-9999 · Fax 267-479-1321
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