Provider Demographics
NPI:1356161608
Name:MILLER, FLOYD HARRIS IV
Entity type:Individual
Prefix:
First Name:FLOYD
Middle Name:HARRIS
Last Name:MILLER
Suffix:IV
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 N OAK AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:19018-1328
Mailing Address - Country:US
Mailing Address - Phone:484-522-9437
Mailing Address - Fax:
Practice Address - Street 1:202 N OAK AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:19018-1328
Practice Address - Country:US
Practice Address - Phone:484-522-9437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency