Provider Demographics
NPI:1144298308
Name:MILLER, MICHAEL A (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:MILLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3116 CAPITAL CIR NE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-7790
Mailing Address - Country:US
Mailing Address - Phone:850-668-4200
Mailing Address - Fax:850-878-3141
Practice Address - Street 1:3116 CAPITAL CIR NE
Practice Address - Street 2:SUITE 1
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-7790
Practice Address - Country:US
Practice Address - Phone:850-668-4200
Practice Address - Fax:850-878-3141
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8310111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1043606OtherAMERICAN SPECIALTY HEALTH
FL70133OtherBCBS OF FLORIDA
FL658342OtherACN GROUP
FL7292121OtherCIGNA
FL70133AOtherBCBS
FL9716872OtherUNITED HEALTHCARE
FL70133AOtherBCBS
FLU92821Medicare UPIN