G.L. Miller Anesthesia LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

G.L. MILLER ANESTHESIA LLC

Practice address

561 W Tropic Way
Saint Augustine, FL 32080-6402

Phone

(407) 758-7101

NPI assigned

Jun 19, 2017

Organization subpart

No

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

Authorized official

Name

Gary L Miller, CRNANPI 1447297528

Title

Owner

Phone

(407) 758-7101

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Lee Miller, CRNA

  • Certified Registered Nurse Anesthetist
  • Daytona Beach, FL
  • NPI 1447297528

  Nurse Anesthetist, Certified Registered

  NPD Authorized official

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700316155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 W TROPIC WAY",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320806402",
            "telephone_number": "407-758-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 W TROPIC WAY",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320806402",
            "telephone_number": "407-758-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.L. MILLER ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-758-7101",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryant Fuller, CRNA
• Chrystal Fuller
• Ashley Fulton
• Angela Marie Fusco, LMHC
• Eris Fusco
• Glenn Randolph Gaffney, LMT
• Gainesville Vamc
• Gabriel P. Galan, DPM
• Nolan A Gall, MD
• Stephen R Gallegos

• All providers in Saint Augustine, FL
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.