Organization Active NPI

David a Miller

  • Family Medicine Physician
  • Loxahatchee, FL
National Provider Identifier
1194773895
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME48584 Issued in FL
Legal business name
DAVID A MILLER
Practice address
12977 Southern Blvd
Suite202
Loxahatchee, FL 33470-9255
Phone
(561) 204-3620
Fax
(561) 204-3621
NPI assigned
May 4, 2006
Last updated
Jun 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Dr. David A Miller Jr., MD
Title
Ceo
Phone
(561) 204-3620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME48584 FL Primary

Addresses

Primary practice location

12977 Southern Blvd
Suite202
Loxahatchee, FL 33470-9255

Mailing address

12977 Southern Blvd
Suite 202
Loxahatchee, FL 33470-9255
Phone (561) 204-3620

Other identifiers 1

IdentifierTypeStateIssuer
258046200MedicaidFL

National Provider Directory

National Provider Directory

Locations

12977 Southern Blvd
Ste 100
Loxahatchee, FL 33470
Phone (561) 784-4444

13005 Southern Blvd
Ste 142
Loxahatchee, FL 33470
Phone (561) 204-3620

207 Begonia Dr
Pahokee, FL 33476
Phone (561) 924-6100

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1194773895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12977 SOUTHERN BLVD",
            "address_2": "SUITE 202",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709255",
            "telephone_number": "561-204-3620",
            "fax_number": "561-204-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12977 SOUTHERN BLVD",
            "address_2": "SUITE202",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709255",
            "telephone_number": "561-204-3620",
            "fax_number": "561-204-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A MILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-204-3620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME48584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258046200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.