Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Earl Norman Miller III, PA-C

Individual provider Surgical Physician Assistant · NPI 1962474890

Earl Norman Miller III, PA-C is a Physician Assistant in Jacksonville, Florida. Graduated from University of Florida College of Medicine in 1998, 28 years ago. Practices with Southeast Orthopedic Specialists LLC, a 145-clinician group and works from 10 locations. Licensed in Florida.

Years since qualifying
28
Trained at
University of Florida College of Medicine
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10475 Centurion Pkwy N Ste 301
Jacksonville, FL 32256-5004
Phone: (904) 634-0640
Fax: (904) 634-0203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (9)

  • 4565 Us Highway 17 Ste 200, Fleming Island, FL 32003-4823 — (904) 634-0604
  • 2627 Riverside Ave, Jacksonville, FL 32204-4717 — (904) 634-0604
  • 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 — (904) 634-0640
  • 15255 Max Legget Pkwy Ste 5300, Jacksonville, FL 32218-7274 — (904) 634-0640
  • 4268 Oldfield Crossing Dr Ste 201, Jacksonville, FL 32223-8800 — (904) 634-0640
  • 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 — (904) 634-0604
  • 1690 Us Highway 1 S Ste F, St Augustine, FL 32084-6024 — (904) 634-0640
  • 216 Southpark Cir E Ste 216, St Augustine, FL 32086-5135 — (904) 634-0640
  • 3055 County Road 210 W Ste 110, St Johns, FL 32259-7001 — (904) 634-0640

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9100657 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1962474890
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 4, 2006
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Southeast Orthopedic Specialists Llc — 145 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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