JACKIE ROBINSON MILLER DO
NPI 1205899507
Family Medicine in Deland, FL

Active since April 08, 2006
701 W PLYMOUTH AVE, DELAND, FL 32720(386) 943-4522 Get Directions Write a Review

NPPES record last updated: August 3, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackie Robinson Miller Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE ROBINSON MILLER DO (NPI 1205899507) is an individual family medicine provider in Deland, Florida, licensed in Florida (OS5051) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1205899507
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACKIE ROBINSON MILLERCredential: DO
Location Address701 W PLYMOUTH AVEDeland, FL 32720-3236
Mailing AddressPo Box 9430Daytona Beach, FL 32120-9430 · (386) 274-7800 · Fax (386) 274-7801
Sole ProprietorNo
Enumeration DateApril 8, 2006
Last NPPES UpdateAugust 3, 2009
NPI 1205899507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · OS5051
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

701 W PLYMOUTH AVE, Deland, FL 32720

Other Identifiers 7

Medicare PIN57226WFL
Medicare PIN57226CFL
Medicaid250243700FL
Medicare PIN930086628
Medicare PIN57226TFL
Medicare UPING13655
Other57226FL · Bcbs

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
701 W PLYMOUTH AVE
DELAND, FL 32720
Radiology (Diagnostic Radiology)
701 W PLYMOUTH AVE
DELAND, FL 32720
Radiology (Diagnostic Radiology)
701 W PLYMOUTH AVE
DELAND, FL 32720
Internal Medicine
701 W PLYMOUTH AVE
DELAND, FL 32720
Pharmacist
701 W PLYMOUTH AVE
DELAND, FL 32720
Emergency Medicine
701 W PLYMOUTH AVE
DELAND, FL 32720
Physician Assistant
701 W PLYMOUTH AVE
DELAND, FL 32720
Nurse Practitioner
701 W PLYMOUTH AVE
DELAND, FL 32720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Miller's NPI number?

The NPI number for Jackie Miller is 1205899507. It was assigned to this individual provider in the NPPES registry on April 8, 2006.

Where is Jackie Miller located?

Jackie Miller practices at 701 W Plymouth Ave, Deland, FL 32720. The listed phone number is (386) 943-4522.

What is Jackie Miller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jackie Miller was last updated on August 3, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.