Dr Michael Lee Miller, MD | |
11 Racetrack Rd Ne, Suite E4, Fort Walton Beach, FL 32547-1882 | |
(850) 200-4574 | |
Not Available |
Full Name | Dr Michael Lee Miller |
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Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 11 Racetrack Rd Ne, Fort Walton Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154390730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 023433 (Louisiana) | Secondary |
2086S0129X | Surgery - Vascular Surgery | ME98427 (Florida) | Primary |
Entity Name | Houston County Healthcare Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Lee Miller, MD 4607 Chanan Drive, Crestview, FL 32539 Ph: (850) 682-2596 | Dr Michael Lee Miller, MD 11 Racetrack Rd Ne, Suite E4, Fort Walton Beach, FL 32547-1882 Ph: (850) 200-4574 |
John Christofer Dali, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 999 Mar Walt Drive, White-wilson East Building, Fort Walton Beach, FL 32547 Phone: 850-863-8269 Fax: 850-862-7965 | |
Emilio Claudio Calabrese, MD Surgery Medicare: Medicare Enrolled Practice Location: 2010 Lewis Turner Blvd, Fort Walton Beach, FL 32547 Phone: 850-460-0052 Fax: 844-341-2523 | |
Mr. William Harrison Hunt, MD Surgery Medicare: Medicare Enrolled Practice Location: 1032 Mar Walt Dr Unit 220, Fort Walton Beach, FL 32547 Phone: 850-374-9610 Fax: 850-374-9611 | |
Dr. Robert Lane Rogers, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 999 Mar Walt Drive, White-wilson East Building, Fort Walton Beach, FL 32547 Phone: 850-863-8255 Fax: 850-862-7965 | |
Dr. Patrick Thomas Mcgraw, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547 Phone: 850-864-4033 Fax: 850-864-4076 | |
Jessica Wise, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 320 Racetrack Rd Nw Ste 100b, Fort Walton Beach, FL 32547 Phone: 850-374-9610 Fax: 850-374-9611 |