Dr. Michael Lee Miller
Vascular Surgeon
11 Racetrack Rd Ne Suite E4
Fort Walton Beach
, Florida 32547-1882
Dr. Michael Lee Miller
Vascular Surgeon
11 Racetrack Rd Ne Suite E4
Fort Walton Beach
, Florida 32547-1882
(850) 682-2596
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael Lee Miller
- 4607 Chanan Drive
- Crestview, FL
- Zip : 32539
- Phone : (850) 682-2596
Second Address
- Dr. Michael Lee Miller
- 11 Racetrack Rd Ne Suite E4
- Fort Walton Beach, FL
- Zip : 32547-1882
- Phone : (850) 200-4574
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FAQs
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Is Dr. Michael Lee Miller a sole practitioner?
Is Dr. Michael Lee Miller accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0129X | Vascular Surgeon | 023433 | LA |
| Y | 2086S0129X | Vascular Surgeon | ME98427 | FL |
National Provider Identifier
| NPI | 1154390730 |
|---|---|
| Provider Name | Dr. Michael Lee Miller |
| First Address | Crestview, FL 32539 |
| Second Address | Fort Walton Beach, FL 32547-1882 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/03/2006 |
| Last Update Date | 09/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| VAD000 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.