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NPI Code Detail

MEDICARE: MIA WERKSMAN

MEDICARE: MIA WERKSMAN
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
11041C0700XClinical Social WorkerSW21655FL

General Provider Information

NPI Number : 1881379667
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIA WERKSMAN
Provider Business Mailing Address
First Line : 2901 BROADWAY
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-5131
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2901 BROADWAY
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-5131
Country : US
Telephone Number : 561-927-6101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2023
Last Update Date : 06/19/2023

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Directions to “ MIA WERKSMAN ” Practice Location

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