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Deactivated NPI 1720032055 Deactivated / Inactive NPI Male Practitioner

Dr. David Miller , MD

Surgery - Pediatric Surgery • Orlando, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Miller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 20, 2006
NPI Deactivation Date April 29, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. David Miller, MD was a registered Surgery - Pediatric Surgery practicing in Orlando, FL. Throughout an active medical career spanning 13 years, Dr. Miller provided care at the practice location at 1814 LUCERNE TER until profile deactivation on 2019-04-29.

Practice Location & Contact Primary Location

Practice Address

1814 Lucerne Ter
Suite A

Orlando, FL 328062949

Telephone 4075401000
Fax 4075401011
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Orlando, FL (94 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License FL ME0040941

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Brenna Fullerton , MD

Surgery - Pediatric Surgery

NPI 1366741720

Doctor of Medicine (M.D.)

Rodny Diaz Mendez

Physician Assistant - Surgical

NPI 1407648744
Devinn Gorey

Physician Assistant - Surgical

NPI 1457080731
Jesica Archie , MSN

Nurse Practitioner - Pediatrics

NPI 1588974869

Master of Science in Nursing

Dr. Cristine Velazco , MD

Surgery - Pediatric Surgery

NPI 1659716983

Doctor of Medicine (M.D.)

Dr. Donald Plumley , MD

Surgery - Pediatric Surgery

NPI 1669426920

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 29, 2019

Record deactivated on April 29, 2019

NPI Profile Active October 04, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 04, 2011

Registered at 1814 LUCERNE TER, SUITE A, ORLANDO, FL 328062949 (Tel: 4075401000)

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Updated Business Mailing Address October 04, 2011

Registered at 1814 LUCERNE TER, SUITE A, ORLANDO, FL 328062949 (Tel: 4075401000)

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Provider Name / Credentials Updated October 04, 2011

Recorded as DAVID MILLER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2011

Surgery (License #ME0040941 in FL)

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Initial NPI Registration & Enumeration May 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720032055
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2006
Last Update: October 04, 2011
Deactivation Date: April 29, 2019

Mailing Address

1814 Lucerne Ter, Suite A

Orlando, FL 328062949

Phone: 4075401000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.