Dr Clint D Miller, DC | |
11761 Beach Blvd, Suite 8, Jacksonville, FL 32246-6615 | |
(904) 642-3304 | |
(904) 928-3561 |
Full Name | Dr Clint D Miller |
---|---|
Gender | Male |
Speciality | Chiropractor - Sports Physician |
Location | 11761 Beach Blvd, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467403824 | NPI | - | NPPES |
051010600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NS0005X | Chiropractor - Sports Physician | CH6086 (Florida) | Primary |
Provider Name | Coastal Plus Medical Center Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407172018 PECOS PAC ID: 1153693577 Enrollment ID: O20170821001064 |
Mailing Address | Practice Location Address |
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Dr Clint D Miller, DC 11761 Beach Blvd, Suite 8, Jacksonville, FL 32246-6615 Ph: (904) 642-3304 | Dr Clint D Miller, DC 11761 Beach Blvd, Suite 8, Jacksonville, FL 32246-6615 Ph: (904) 642-3304 |
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