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1891740015
KENNETH MILLER
PORT CHARLOTTE, FL
NPI
1891740015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL 00002039)
Enumeration Date
2006-05-24
Last Update Date
2019-12-02
Business Address
KENNETH MILLER PAC
21297 OLEAN BLVD STE A
PORT CHARLOTTE, FL 33952-6704
Phone number: 855-979-5700
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Mailing Address
KENNETH MILLER PAC
2675 WINKLER AVE FL 2
FORT MYERS, FL 33901-9342
Phone number: 877-856-3774
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