Provider Demographics
NPI:1477546349
Name:MILLER, DANIEL FRANKLIN (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:FRANKLIN
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 N CAUSEWAY
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32169-5235
Mailing Address - Country:US
Mailing Address - Phone:386-427-4143
Mailing Address - Fax:386-427-0711
Practice Address - Street 1:415 N CAUSEWAY
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32169-5235
Practice Address - Country:US
Practice Address - Phone:386-427-4143
Practice Address - Fax:386-427-0711
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2008-01-10
Deactivation Date:2006-03-27
Deactivation Code:
Reactivation Date:2006-03-31
Provider Licenses
StateLicense IDTaxonomies
FLME44295207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL046322100Medicaid
FLM57717Medicare UPIN