| Premier Miller Orthopedic & Medical Center | |
|
720 E Fletcher Ave Suite 110 Tampa FL 33612-2616 | |
| (813) 903-2383 | |
| (813) 856-4587 |
| Full Name | Premier Miller Orthopedic & Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 720 E Fletcher Ave, Tampa, Florida |
| Authorized Official Name and Position | Sherry A Miller (VICE PRESIDENT) |
| Authorized Official Contact | 8133762841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Miller Orthopedic & Medical Center 720 E Fletcher Ave Suite 110 Tampa FL 33612-2616 Ph: (813) 903-2383 | Premier Miller Orthopedic & Medical Center 720 E Fletcher Ave Suite 110 Tampa FL 33612-2616 Ph: (813) 903-2383 |
| NPI Number | 1811023633 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811023633 | NPI | - | NPPES |
| HCC7198 | Other | FL | AHCA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC7198 (Florida) | Primary |
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