Bruce H Miller, DO
Radiology, Diagnostic Radiology in Lakeland, FL. Individual provider (NPI-1).
NPI number1528039633
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1528039633
- Entity type
- Individual (NPI-1)
- Name
- Bruce H Miller
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2006
- Certification date
- Sep 22, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | OS6158 | FL | Yes |
| 2085B0100X | Radiology, Body Imaging | OS6158 | FL |
Practice location
1600 Lakeland Hills BlvdLakeland, FL 33805
Phone 863-680-7000 · Fax 866-264-8519
Mailing address
1600 Lakeland Hills BlvdLakeland, FL 33805-3019
Phone 863-680-7000 · Fax 866-264-8519
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