J. Robert Miles, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

592344222 Issued in FL

Practice address

402 Dort St
Plant City, FL 33563-4318

Phone

(813) 752-3174

Fax

(813) 659-3958

NPI assigned

Jul 8, 2005

Last updated

Dec 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1619975190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 DORT ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634318",
            "telephone_number": "813-752-3174",
            "fax_number": "813-659-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 DORT ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634318",
            "telephone_number": "813-752-3174",
            "fax_number": "813-659-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "J. ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "592344222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054796400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metcare of Florida Inc. (Clinical Care Plant City)
• David Methot, NP
• Miami Beach Medical Consultants, LLC. (Clinical Care Medical Centers)
• Michael D Boehm MD PA
• Michael S Mathews DMD PA
• Millennium Physician Group LLC
• Andrew James Miller, APRN
• Aaron Nathanial Mills, APRN
• Rachel Mills
• Steven Shelby Minter, PSY.D.

• Legal Medicine in Plant City, FL
• Providers in Plant City, FL by specialty
• Legal Medicine in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.