Healthcare Provider Details

I. General information

NPI: 1770416307
Provider Name (Legal Business Name): KATIE MILLER MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6859 SW 18TH ST STE 200
BOCA RATON FL
33433-7015
US

IV. Provider business mailing address

6859 SW 18TH ST STE 200
BOCA RATON FL
33433-7015
US

V. Phone/Fax

Practice location:
  • Phone: 561-368-3775
  • Fax: 561-392-7139
Mailing address:
  • Phone: 561-368-3775
  • Fax: 561-392-7139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number917
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: