Search › Florida › 207L00000X
Ethan Miller
NPI 1710418991 · on the registry since 2017
Practice
- Address
- 400 Health Park Blvd
St Augustine, FL 32086 - Phone
- (904) 200-5911
- Organisation at this address
- Flagler Hospital
Todd Broder Md Pl
Flagler Hospital Inc
Flagler Hospital, Inc.
Ob Hospitalist Group LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 90
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Also registered as
- 390200000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida