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NPI Code Detail

MEDICARE: LOLITA MILLER

MEDICARE: LOLITA MILLER
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
1104100000XSocial WorkerISW22707FL

General Provider Information

NPI Number : 1841148434
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOLITA MILLER
Provider Business Mailing Address
First Line : 1110 EDGEWOOD AVE W
Second Line : 1110 EDGEWOOD AVE W
City : JACKSONVILLE
State : FL
Zip : 32208-6405
Country : US
Telephone Number : 904-448-4700
Fax Number : 904-448-4700
Provider Business Practice Location Address
First Line : 1110 EDGEWOOD AVE W
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32208-6405
Country : US
Telephone Number : 904-448-4700
Fax Number : 904-448-4700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ LOLITA MILLER ” Practice Location

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