| Craig A. Miller, Do, Pa | |
|
1400 Hand Ave Suite K Ormond Beach FL 32174-8194 | |
| (386) 852-3652 | |
| (386) 673-8009 |
| Full Name | Craig A. Miller, Do, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 Hand Ave, Ormond Beach, Florida |
| Authorized Official Name and Position | Craig Allan Miller (OWNER/PRESIDENT) |
| Authorized Official Contact | 3868523652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig A. Miller, Do, Pa 1400 Hand Ave Suite K Ormond Beach FL 32174-8194 Ph: (386) 852-3652 | Craig A. Miller, Do, Pa 1400 Hand Ave Suite K Ormond Beach FL 32174-8194 Ph: (386) 852-3652 |
| NPI Number | 1518072826 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 10/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518072826 | NPI | - | NPPES |
| 260025100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS7698 (Florida) | Primary |
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