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Organization
MOLLY A. MILLER, MS, PT, LMT
Active
Organization
MOLLY A. MILLER, MS, PT, LMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY A. MILLER PT (SOLE PROPRIETOR)
(813) 237-0777
Entity
Organization
Contact information
Practice address
5701 N FLORIDA AVE, TAMPA, FL 33604-6913
(813) 237-0777
(813) 237-2999
Mailing address
PO BOX 7066, TAMPA, FL 33673-7066
(813) 237-0777
(813) 237-2999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0013284
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y8055
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
08/04/2008
Last updated
08/04/2008
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