Healthcare Provider Details

I. General information

NPI: 1336786714
Provider Name (Legal Business Name): SARAH MILLER PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2019
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31640 US HIGHWAY 19 N
PALM HARBOR FL
34684-3738
US

IV. Provider business mailing address

31640 US HIGHWAY 19 N
PALM HARBOR FL
34684-3738
US

V. Phone/Fax

Practice location:
  • Phone: 727-203-4873
  • Fax: 727-616-5485
Mailing address:
  • Phone: 727-203-4873
  • Fax: 727-616-5485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11019268
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: