Organization Active NPI

Miller Aesthetic Medicine, LLC

  • Health Service Clinic/Center
  • Tavernier, FL
National Provider Identifier
1881181881
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MILLER AESTHETIC MEDICINE, LLC
Practice address
90290 Overseas Hwy Ste 106
Tavernier, FL 33070-2263
Phone
(305) 517-6957
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Authorized official

Name
Dr. Wendi Medicine Miller, MD
Title
Owner/Director
Phone
(305) 517-6957

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

90290 Overseas Hwy Ste 106
Tavernier, FL 33070-2263

Mailing address

90290 Overseas Hwy Ste 106
Tavernier, FL 33070-2263
Phone (305) 517-6957

Other names 1

  • Miller Aesthetic Medicine, LLC Other name

National Provider Directory

National Provider Directory

Locations

90290 Overseas Hwy
Ste 106
Tavernier, FL 33070
Phone (305) 517-6957

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1881181881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90290 OVERSEAS HWY STE 106",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702263",
            "telephone_number": "305-517-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90290 OVERSEAS HWY STE 106",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702263",
            "telephone_number": "305-517-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER AESTHETIC MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WENDI",
        "authorized_official_middle_name": "MEDICINE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "305-517-6957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Aesthetic Medicine, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tavernier, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.