Clint D. Miller in Jacksonville - Sports Physician
Clint D. Miller - NPI 1467403824
Clint D. Miller is a Sports Physician in Jacksonville, Florida. Clint D. Miller practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Clint D. Miller is 1467403824. The last update date is 2013-03-20.
Clint D. Miller's current location address is 11761 Beach Blvd, Jacksonville, Florida. You can contact this provider via phone number 9046423304 and fax number 9049283561. The mailing address for Clint D. Miller is 11761 Beach Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clint D. Miller |
|---|---|
| Address | 11761 Beach Blvd, Jacksonville, Florida |
| Phone Number | 9046423304 |
| Fax Number | 9049283561 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1467403824 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2013-03-20 |
Provider Mailing Address Detail
| Address | 11761 Beach Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322466615 |
| Phone Number | 9046423304 |
| Fax Number | 9049283561 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | CH6086 |
|
Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51010600 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Clint D. Miller by the Centers for Medicare & Medicaid Services?
The Clint D. Miller has been assigned the NPI (National Provider Identifier) 1467403824. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Clint D. Miller's facilities are situated?
The facilities of Clint D. Miller are physically located at the following address: 11761 Beach Blvd, Jacksonville, FL, 322466615.
What is Clint D. Miller's specialized field of practice, and what is the corresponding taxonomy classification code?
The Clint D. Miller's area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.
When did the Clint D. Miller receive its 1467403824?
The Clint D. Miller was issued its 1467403824 on 2006-05-12, which is the date when the organization was assigned this unique identifier.
When was the information related to Clint D. Miller most recently updated or refreshed?
The details pertaining to the Clint D. Miller, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-03-20.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY