| Organization Name: | DOCTORS DIET PROGRAM OF FLORIDA |
| NPI Number: | 1053665836 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID EDWARD MILLER (OWNER) |
| Mailing Address: | 6420 N 9th Ave Pensacola |
| State: | FL US |
| Postal Code: | 325047322 |
| Phone Number: | 8504942039 |
| Fax Number: | 8504942043 |
| NPI Enumeration Date: | 11/01/2012 |
| NPI Last Update Date: | 11/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS9816-FL |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |