Provider Demographics
NPI:1023084670
Name:MILLER, STEPHEN J (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:J
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 1:6280 SUNSET DR
Mailing Address - Street 2:SUITE 505
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4827
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
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0067852207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3313890OtherAETNA HMO
FL1817873OtherUNITED HEALTH CARE
FL250980600Medicaid
FLP00071892OtherRAILROAD MEDICARE
FL5123696OtherAETNA PPO
FL5780959OtherCIGNA
FL31706OtherBLUE CROSS BLUE SHIELD
FL254853OtherAVMED
FLP00071892OtherRAILROAD MEDICARE
FL3313890OtherAETNA HMO