Miller, Clint D.

Miller, Clint D. is an individual health care provider with primary practice located at 11761 Beach Blvd Suite 8, Jacksonville FL 32246-6615. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Miller, Clint D. can be contacted via phone (904) 642-3304.

Contact Information

Primary practice address
11761 Beach Blvd Suite 8 Jacksonville FL 32246-6615
Phone: (904) 642-3304
Fax: (904) 928-3561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X CH6086 Florida

Profile Details

NPI number 1467403824
LBN Legal business name Miller, Clint D.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Mar 20th, 2013 - about 13 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 1467403824 NPPES
Florida MEDICAID 051010600

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