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NPI Code Detail

MEDICARE: CANDACE MILLER CCC-SLP

MEDICARE:   CANDACE  MILLER  CCC-SLP
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
1235Z00000XSpeech-Language PathologistSA16693FL

General Provider Information

NPI Number : 1336938828
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDACE MILLER CCC-SLP
Provider Business Mailing Address
First Line : 1300 ISLEWORTH CT
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-6101
Country : US
Telephone Number : 863-228-6725
Fax Number :
Provider Business Practice Location Address
First Line : 1300 ISLEWORTH CT
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-6101
Country : US
Telephone Number : 863-228-6725
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2025
Last Update Date : 05/02/2025

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Directions to “ CANDACE MILLER CCC-SLP” Practice Location

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