Miles, David Addison

Miles, David Addison is an sole proprietor health care provider with primary practice located at 1200 Henley Ln , Baker FL 32531-2702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Miles, David Addison can be contacted via phone (850) 969-7979.

Contact Information

Primary practice address
1200 Henley Ln Baker FL 32531-2702
Phone: (850) 969-7979
Fax: (850) 476-9352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME36788 Florida

Profile Details

NPI number 1477542223
LBN Legal business name Miles, David Addison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2005
Last updated May 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477542223 NPPES
Florida Other 17475 BCBS OF FL
Florida Other 5638025 BCBS OF FL
Florida Other 59166821MIL BCBS OF FL
Florida MEDICAID 065064100 BCBS OF FL
Florida Other 4040398 BCBS OF FL
Florida Other NQ362 BCBS OF FL
Florida Other Q00062537 BCBS OF FL
Florida Other 2500248 BCBS OF FL
Florida Other 009962390 BCBS OF FL

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