Healthcare Provider Details

I. General information

NPI: 1518927730
Provider Name (Legal Business Name): LAURA T MULLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 09/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3155 CURLEW RD
OLDSMAR FL
34677-2606
US

IV. Provider business mailing address

3155 CURLEW RD
OLDSMAR FL
34677-2606
US

V. Phone/Fax

Practice location:
  • Phone: 727-216-2020
  • Fax: 727-216-1173
Mailing address:
  • Phone: 727-216-2020
  • Fax: 727-216-1173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME0088265
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: