NPIMap

Organization Active NPI

Premier Miller Orthopedic Centers Inc

Doing business as Outpatient Treatment Center

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1760517890
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
P04000038336 Issued in FL
Legal business name
PREMIER MILLER ORTHOPEDIC CENTERS INC
Doing business as
Outpatient Treatment Center
Practice address
400 E Dr M L King Jr Blvd
Suite 104
Tampa, FL 33603-3836
Phone
(813) 238-6510
Fax
(813) 237-2424
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sherry A Miller
Title
Secretary
Phone
(813) 376-2841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X P04000038336 FL Primary

Addresses

Primary practice location

400 E Dr M L King Jr Blvd
Suite 104
Tampa, FL 33603-3836

Mailing address

25306 Oaks Blvd
Land O Lakes, FL 34639-5547
Phone (813) 907-7852

Other names 1

  • Outpatient Treatment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premier Miller Orthopedic Centers Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760517890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25306 OAKS BLVD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346395547",
            "telephone_number": "813-907-7852",
            "fax_number": "813-856-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E DR M L KING JR BLVD",
            "address_2": "SUITE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033836",
            "telephone_number": "813-238-6510",
            "fax_number": "813-237-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MILLER ORTHOPEDIC CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "813-376-2841",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "P04000038336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outpatient Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.