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D.S.MILES DPM PA NPI 1114164456


NPI Information

NPI: 1114164456
Provider Name: D.S.MILES DPM, PA

Other Name: DAWN S. MILES DPM PA

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
220 SOUTHPARK CIR E
ST AUGUSTINE, FL
ZIP 32086
Phone: (904) 808-9950
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D.S.MILES DPM, PA is a podiatrist in St Augustine, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. D.S.MILES DPM, PA NPI is 1114164456. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Dawn S. Miles Dpm Pa.

The provider's business location address is:

220 SOUTHPARK CIR E
ST AUGUSTINE, FL
ZIP 32086-135
Phone: (904) 808-9950
Fax: (386) 328-3351

The provider's authorized official is Dawn Shepherd Miles .
The authorized official title is Doctor and has the following contact phone number (386) 328-7228.

The enumeration date for this NPI number is 1/8/2009 and was last updated on 2/4/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristPO2627FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13924770001MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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