| Marty Miller, M.a., P.a. | |
|
1101 W Hibiscus Blvd Suite 104 Melbourne FL 32901-2718 | |
| (321) 723-0070 | |
| (321) 723-6150 |
| Full Name | Marty Miller, M.a., P.a. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1101 W Hibiscus Blvd, Melbourne, Florida |
| Authorized Official Name and Position | Barbara Young (OFFICE MANAGER) |
| Authorized Official Contact | 3217230070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marty Miller, M.a., P.a. Po Box 1176 Melbourne FL 32902-1176 Ph: (321) 723-0070 | Marty Miller, M.a., P.a. 1101 W Hibiscus Blvd Suite 104 Melbourne FL 32901-2718 Ph: (321) 723-0070 |
| NPI Number | 1275514945 |
|---|---|
| Provider Enumeration Date | 11/09/2005 |
| Last Update Date | 06/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275514945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH1556 (Florida) | Primary |
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