MEDICARE: MS. LOREN S MILETSKY MSN, APRN, RN, PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2025099854	FL

General Provider Information

NPI Number	:	1285588558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LOREN S MILETSKY MSN, APRN, RN, PMHNP

Provider Business Mailing Address
First Line	:	10767 S SARATOGA DR
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33026-5006
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 S ANDREWS AVE STE 504
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-2066
Country	:	US
Telephone Number	:	305-978-4457
Fax Number	:

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

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	03/05/2026

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