Provider Demographics
NPI:1518189299
Name:MILEY, JANET ELAINE (MD)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:ELAINE
Last Name:MILEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:863 N COCOA BLVD
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32922-7510
Mailing Address - Country:US
Mailing Address - Phone:321-264-2345
Mailing Address - Fax:321-735-8882
Practice Address - Street 1:863 N COCOA BLVD
Practice Address - Street 2:
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32922-7510
Practice Address - Country:US
Practice Address - Phone:321-264-2345
Practice Address - Fax:321-735-8882
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207RC0200X174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL03280OtherBCBS
FL7276274OtherAETNA
FL7883229001OtherCIGNA
FLE6294Medicare PIN
FL7883229001OtherCIGNA
FL7883229001OtherCIGNA