Individual provider · Type 1 NPI

Matthew D. Miller, PA-C

Surgical Physician Assistant · Fort Lauderdale, FL

NPI number 1366087082 Active

Practice location

1995 E Oakland Park Blvd Ste 310
Fort Lauderdale, FL 33306-1138

Call (954) 791-6146 Map

Mailing address

PO Box 936535
Atlanta, GA 31193-6535

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X25MP00560200 (NJ)
Physician Assistant 363A00000XPA9116836 (FL)
Physician Assistant 363A00000X024326 (NY)
Surgical Physician Assistant Primary 363AS0400XPA9116836 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1366087082

Matthew D. Miller, PA-C's National Provider Identifier is 1366087082, issued on Nov 18, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Aug 2, 2023.