Taylor Elizabeth Miller, PTA

Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Jay, FL

NPI 1013571397 · NPPES record last updated Apr 23, 2019

Key facts

NPI
1013571397
Entity type
Individual (NPI type 1)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
License
28547 (FL)
Practice address
14114 Alabama St
Jay, FL 32565-1219
Phone
(850) 675-8040
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
28547FLMDPhysical Medicine & Rehabilitation Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 28547 FL Yes

Addresses

Primary practice location

14114 Alabama St
Jay, FL 32565-1219

Mailing address

14114 Alabama St
Jay, FL 32565-1219

Other providers in Jay, FL

All providers in Jay, FL · Physical Medicine & Rehabilitation Physician in Florida

Sources for this page

Verify at the official NPI Registry.