Dr Loren Jeffery Miller, DPM | |
4167 5th Ave N, St Petersburg, FL 33713-6303 | |
(727) 321-3100 | |
(727) 327-6800 |
Full Name | Dr Loren Jeffery Miller |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 39 Years |
Location | 4167 5th Ave N, St Petersburg, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285682344 | NPI | - | NPPES |
029772100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | P01707 (Florida) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO1707 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Anthonys Hospital | Saint petersburg, FL | Hospital |
Provider Name | Loren J Miller Dpm Plc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851430672 PECOS PAC ID: 5991807737 Enrollment ID: O20070224000042 |
Mailing Address | Practice Location Address |
---|---|
Dr Loren Jeffery Miller, DPM 4167 5th Ave N, St Petersburg, FL 33713-6303 Ph: (727) 321-3100 | Dr Loren Jeffery Miller, DPM 4167 5th Ave N, St Petersburg, FL 33713-6303 Ph: (727) 321-3100 |
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