NPIMap

Organization Active NPI

Loren J Miller DPM PLC

  • Durable Medical Equipment & Medical Supplies
  • St Petersburg, FL
National Provider Identifier
1033121306
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PO1707 Issued in FL
Legal business name
LOREN J MILLER DPM PLC
Practice address
5415 Park St N
Suite C
St Petersburg, FL 33709-1087
Phone
(727) 544-5425
Fax
(727) 544-5440
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Loren J Miller, DPM
Title
Owner
Phone
(727) 544-5425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PO1707 FL Primary

Addresses

Primary practice location

5415 Park St N
Suite C
St Petersburg, FL 33709-1087

Mailing address

5415 Park St N
Suite C
St Petersburg, FL 33709-1087
Phone (727) 544-5425

National Provider Directory

National Provider Directory
Tax ID family
Advanced Foot and Surge2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5415 Park St N
Ste C
St Petersburg, FL 33709
Phone (727) 544-5425

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1033121306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 PARK ST N",
            "address_2": "SUITE C",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091087",
            "telephone_number": "727-544-5425",
            "fax_number": "727-544-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 PARK ST N",
            "address_2": "SUITE C",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091087",
            "telephone_number": "727-544-5425",
            "fax_number": "727-544-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOREN J MILLER DPM PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-544-5425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PO1707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.