Healthcare Provider Details

I. General information

NPI: 1992623011
Provider Name (Legal Business Name): SHARMAINE E MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

762 NW 90TH TER
PLANTATION FL
33324-1116
US

IV. Provider business mailing address

762 NW 90TH TER
PLANTATION FL
33324-1116
US

V. Phone/Fax

Practice location:
  • Phone: 786-576-9958
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: