MILLER VASCULAR, PA
Ambulatory Health at Racetrack Rd, Fort Walton Beach, FL

License number
Florida ME98427
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. MICHAEL LEE MILLER M.D.
Title: PRESIDENT
Phone: (850) 398-7088
Address
Address 2
11 Racetrack Rd NE SUITE E4, Fort Walton Beach, FL 32547
4607 Chanan Dr, Crestview, FL 32539
National Provider ID: 1427328343
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Miller Vascular PA

Fort Walton Beach, FL  -  Crestview, FL

Industry:
Medical Doctor's Office
Registration:
May 24, 2007
Addresses:
11 Racetrack Rd NE, Fort Walton Beach, FL 32547
4607 Chanan Dr, Crestview, FL 32539
State ID:
P07000062233
Business type:
Domestic for Profit Corporation
Vice Presidents:
Michael L. Miller (President),Patricia N. Miller (Vice President)

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