person
Keri Long Miller, PA-C
Medical Physician Assistant in Port Orange, Florida
NPI 1093111510

Keri Long Miller is a Medical Physician Assistant based in Daytona Beach, FL and is specialized in Medical. Keri Long Miller practices in Port Orange, FL and has the professional credentials of PA-C. The NPI Number for Keri Long Miller is 1093111510 and holds a License No. PA 9108344 (Florida).

The current practice location address for Keri Long Miller is 1165 Dunlawton Ave Ste 105, Port Orange, FL and can be reached out via phone at 386-425-4787 and via fax at 386-425-4788.

Location: 1165 Dunlawton Ave Ste 105, Port Orange, FL, 32114-2709
person
Provider Profile Details
NPI Number
1093111510
Provider Name
Keri Long Miller
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1165 Dunlawton Ave Ste 105, Port Orange, FL, 32114-2709
Phone Number
386-425-4787
Fax Number
386-425-4788
Provider Enumeration Date
11/11/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
013803400 05 FL
institution
Provider Business Practice Location Address Details
Address
1165 Dunlawton Ave Ste 105
City
State
Zip
32127-2924
Phone Number
386-425-4787
Fax Number
386-425-4788
person
Provider Business Mailing Address Details
Address
1165 Dunlawton Ave Ste 105
City
State
Zip
32127-2924
Phone Number
386-425-4787
Fax Number
386-425-4788
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA 9108344 (Florida)
Definition
Definition to come...
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