Provider Demographics
NPI:1326114380
Name:MILLER, ERIC ROY (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ROY
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 1:6049 MIRAMAR PKWY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3937
Mailing Address - Country:US
Mailing Address - Phone:954-983-4410
Mailing Address - Fax:954-983-8354
Practice Address - Street 1:6049 MIRAMAR PKWY
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-3937
Practice Address - Country:US
Practice Address - Phone:954-983-4410
Practice Address - Fax:954-983-8354
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005357111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor