MEDICARE: MS. SHERLY MILLAN

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1053047191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHERLY MILLAN

Provider Business Mailing Address
First Line	:	5000 CHARDONNAY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4122
Country	:	US
Telephone Number	:	617-286-5581
Fax Number	:	781-386-2591

Provider Business Practice Location Address
First Line	:	5000 CHARDONNAY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4122
Country	:	US
Telephone Number	:	617-286-5581
Fax Number	:

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

Provider Enumeration Date	:	07/30/2022
Last Update Date	:	04/13/2026

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Directions to “ MS. SHERLY MILLAN ” Practice Location

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