Clint D. Miller, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH6086 Issued in FL

Practice address

11761 Beach Blvd
Suite 8
Jacksonville, FL 32246-6615

Phone

(904) 642-3304

Fax

(904) 928-3561

NPI assigned

May 12, 2006

Last updated

Mar 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Care Medical Center Inc

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1902970684
  Authorized official Same address or phone

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1467403824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11761 BEACH BLVD",
            "address_2": "SUITE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322466615",
            "telephone_number": "904-642-3304",
            "fax_number": "904-928-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11761 BEACH BLVD",
            "address_2": "SUITE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322466615",
            "telephone_number": "904-642-3304",
            "fax_number": "904-928-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CLINT",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH6086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051010600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernadette M Miller, M.D.
• Brenda Miller
• Carol Lynne Miller, LCSW
• Chloe Miller, DPT
• Christopher Miller, DMD
• Constance Dinielli Miller, OT
• Daniel Lorne Miller, CRNA
• Darby Miller, MD
• David Auten Miller, M.D.
• David Lynn Miller Jr., M.D.

• Sports Physician Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.