MEDICARE: LINDA KAYE MILLER R.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	1358702	FL
2	163W00000X	Registered Nurse		IL

General Provider Information

NPI Number	:	1134126675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA KAYE MILLER R.M.

Provider Business Mailing Address
First Line	:	1625 SE 3RD AVE
Second Line	:	STE 601
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33316-2521
Country	:	US
Telephone Number	:	954-462-4413
Fax Number	:	954-462-5413

Provider Business Practice Location Address
First Line	:	1625 SE 3RD AVE
Second Line	:	STE 601
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33316-2521
Country	:	US
Telephone Number	:	954-462-4413
Fax Number	:	954-462-5413

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	07/08/2007

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