Millionaire Fresh Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

MILLIONAIRE FRESH INC

Practice address

98 Vanderford Rd E
Orange Park, FL 32073-5919

Phone

(904) 589-0351

NPI assigned

Jul 29, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Roderick Johnson

Title

Ceo

Phone

(323) 220-8672

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1417365859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15515 S VERMONT AVE",
            "address_2": "5",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474156",
            "telephone_number": "323-220-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 VANDERFORD RD E",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735919",
            "telephone_number": "904-589-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLIONAIRE FRESH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-220-8672",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myralyn A Miller, MA, CCC-SLP
• Roxanne Clemens Miller, LCSW
• Trevor Edward Miller, DDS
• Miller'S Adult Home Care LLC
• John R. Milligan, PH.D., CAP FLORIDA
• Miranda Mills, OTA
• Nicole Mills, PT, DPT
• Stuart Z Millstone, M.D.
• Stephanie Milne, PSY.D.
• Karen L Miner, PA-C

• Ambulance in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.