Healthcare Provider Details

I. General information

NPI: 1629019898
Provider Name (Legal Business Name): MORGAN G MILLER M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3702 WASHINGTON ST SUITE #201
HOLLYWOOD FL
33021-8282
US

IV. Provider business mailing address

1525 SW 151ST AVE
PEMBROKE PINES FL
33027-2313
US

V. Phone/Fax

Practice location:
  • Phone: 954-986-1811
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY 591
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: