MEDICARE: MISS TIANA C MILLER

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	374U00000X	Home Health Aide		FL

General Provider Information

NPI Number	:	1285289363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS TIANA C MILLER

Provider Business Mailing Address
First Line	:	3600 S STATE ROAD 7 STE 355
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33023-7203
Country	:	US
Telephone Number	:	786-428-8606
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 S STATE ROAD 7 STE 355
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33023-7203
Country	:	US
Telephone Number	:	786-428-8606
Fax Number	:

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

Provider Enumeration Date	:	08/06/2019
Last Update Date	:	08/06/2019

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Directions to “ MISS TIANA C MILLER ” Practice Location

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