MEDICARE: MARTINE JULES MILLER LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	PN941521	FL
2	3747P1801X	Personal Care Attendant	235378	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023214970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTINE JULES MILLER LPN

Provider Business Mailing Address
First Line	:	2101 SW 101ST AVE STE 206
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-5090
Country	:	US
Telephone Number	:	754-368-4921
Fax Number	:	305-676-9040

Provider Business Practice Location Address
First Line	:	2101 SW 101ST AVE STE 206
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-5090
Country	:	US
Telephone Number	:	754-244-5808
Fax Number	:	305-676-9040

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2007
Last Update Date	:	04/28/2026

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