Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | BP10049688 | TX |
N | 207V00000X | Obstetrician & Gynecologist | ME150064 | FL |
Y | 207VX0201X | Gynecologic Oncologist | ME150064 | FL |
NPI | 1225456452 |
---|---|
Provider Name | Heather Miller |
First Address | Tampa, FL 33622-5317 |
Second Address | Saint Petersburg, FL 33713-7147 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2014 |
Last Update Date | 12/05/2021 |