Provider Demographics
NPI:1669467429
Name:MILES, ANNE MARIE V (MD)
Entity Type:Individual
Prefix:
First Name:ANNE MARIE
Middle Name:V
Last Name:MILES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1190 NW 95TH ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33150-2063
Mailing Address - Country:US
Mailing Address - Phone:305-835-7045
Mailing Address - Fax:305-836-2359
Practice Address - Street 1:1190 NW 95TH ST
Practice Address - Street 2:SUITE 207
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150-2063
Practice Address - Country:US
Practice Address - Phone:305-835-7045
Practice Address - Fax:305-836-2359
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2008-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME70955207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL252229200Medicaid
FLE0004Medicare PIN
FL252229200Medicaid