Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 28547 | FL |
NPI | 1013571397 |
---|---|
Provider Name | Taylor Elizabeth Miller |
First Address | Jay, FL 32565-1219 |
Second Address | Jay, FL 32565-1219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2019 |
Last Update Date | 23/04/2019 |