Provider Demographics
NPI:1265450159
Name:STEPHEN J MILLER MD PA
Entity Type:Organization
Organization Name:STEPHEN J MILLER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-668-5636
Mailing Address - Street 1:6280 SUNSET DR
Mailing Address - Street 2:SUITE 505
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4870
Mailing Address - Country:US
Mailing Address - Phone:305-668-5636
Mailing Address - Fax:305-668-5621
Practice Address - Street 1:6280 SUNSET DR
Practice Address - Street 2:SUITE 505
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4870
Practice Address - Country:US
Practice Address - Phone:305-668-5636
Practice Address - Fax:305-668-5621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0067852207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1817873OtherUNITED HEALTH CARE
FL250980600Medicaid
FL5123696OtherAETNA PPO
FL254853OtherAVMED
FL31706OtherBLUE CROSS BLUE SHIELD
FLDA7851OtherRAILROAD MEDICARE
FL3313890OtherAETNA HMO
FLG35888Medicare UPIN
FLDA7851OtherRAILROAD MEDICARE
FL250980600Medicaid