| Laurence Miller Phd Pa | |
|
399 Camino Gardens Blvd Suite101 Boca Raton FL 33432-5828 | |
| (561) 392-8881 | |
| Not Available |
| Full Name | Laurence Miller Phd Pa |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 399 Camino Gardens Blvd, Boca Raton, Florida |
| Authorized Official Name and Position | Laurence Miller (OWNER) |
| Authorized Official Contact | 5613928881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurence Miller Phd Pa 399 Camino Gardens Blvd Suite101 Boca Raton FL 33432-5828 Ph: (561) 392-8881 | Laurence Miller Phd Pa 399 Camino Gardens Blvd Suite101 Boca Raton FL 33432-5828 Ph: (561) 392-8881 |
| NPI Number | 1316215742 |
|---|---|
| Provider Enumeration Date | 12/13/2011 |
| Last Update Date | 12/13/2011 |
| Medicare PECOS PAC ID | 8527234178 |
|---|---|
| Medicare Enrollment ID | O20120103000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316215742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY4413 (Florida) | Primary |
| Provider Name | Laurence Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912993676 PECOS PAC ID: 2769659465 Enrollment ID: I20120120000524 |
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