Miller, Allen David

Miller, Allen David is an sole proprietor health care provider with primary practice located at 3006 W Azeele St , Tampa FL 33609-3139. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Miller, Allen David can be contacted via phone (813) 874-3006.

Contact Information

Primary practice address
3006 W Azeele St Tampa FL 33609-3139
Fax: (813) 876-6258
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME34422 Florida

Profile Details

NPI number 1851399497
LBN Legal business name Miller, Allen David
Credentials M.D., M.B.A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Jul 1st, 2010 - about 16 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 1851399497 NPPES
Florida Other 4129479 AETNA PROVIDER NUMBER

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