Evan C Miller, M.D., MPH

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

ME110421 Issued in FL

Practice address

895 SW 30TH Ave
Suite 101
Pompano Beach, FL 33069-4887

Phone

(800) 330-6770

Fax

(954) 633-3217

NPI assigned

Sep 15, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1174772198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013676",
            "telephone_number": "972-934-4392",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 SW 30TH AVE",
            "address_2": "SUITE 101",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694887",
            "telephone_number": "800-330-6770",
            "fax_number": "954-633-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "EVAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "207ZP0102X",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "FL",
            "license": "ME110421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Widney Mildort
• Ben Aaron Miller, L.AC., A.P.
• Benjamin Remond Miller, LMHC
• Deborah Michelle Miller
• Elizabeth Miller, BCBA
• Ezra Miller, PT, DPT
• Meghan Sara Miller, M.A., LPC
• Renee Lynn Miller, M.S.
• Shaketra Miller
• Francisca Gilene Millet, MSED.

• Dermatopathology (Pathology) Physician in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Dermatopathology (Pathology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.