Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | ME13017 | FL |
Y | 208600000X | Surgeon | ME13017 | FL |
NPI | 1013969823 |
---|---|
Provider Name | Dr. Gene Charles Miller |
First Address | Winter Park, FL 32789-1407 |
Second Address | Orlando, FL 32803-1248 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 08/07/2007 |