Organization Active NPI

Miller Medicine and Wellness LLC

  • Health Service Clinic/Center
  • Tavernier, FL
National Provider Identifier
1073383915
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MILLER MEDICINE AND WELLNESS LLC
Doing business as
Miller Medicine
Suite Boutique
Practice address
90290 Overseas Hwy Ste 105-106
Tavernier, FL 33070-2266
Phone
(305) 453-6097
Fax
(305) 453-6097
NPI assigned
Jan 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Dr. Wendi S Miller, MDNPI 1811172547
Title
Managing Member
Phone
(305) 453-6097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

90290 Overseas Hwy Ste 105-106
Tavernier, FL 33070-2266

Mailing address

90290 Overseas Hwy Ste 105
Tavernier, FL 33070-2263
Phone (305) 453-6097

Other names 2

  • Miller Medicine Doing business as
  • Suite Boutique Doing business as

National Provider Directory

National Provider Directory

Locations

90290 Overseas Hwy
Ste 105
Tavernier, FL 33070
Phone (305) 453-6097

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1073383915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90290 OVERSEAS HWY STE 105",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702263",
            "telephone_number": "305-453-6097",
            "fax_number": "305-453-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90290 OVERSEAS HWY STE 105-106",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702266",
            "telephone_number": "305-453-6097",
            "fax_number": "305-453-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER MEDICINE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WENDI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "305-453-6097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Suite Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tavernier, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.