Individual
MILES ERIC HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
415 N RICHARD JACKSON BLVD STE 204, PANAMA CITY BEACH, FL 32407-3694
(917) 399-3094
Mailing address
469 PARADISE BLVD, PANAMA CITY BEACH, FL 32413-8726
(917) 399-3094
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
17943
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119357400
—
FL
01
—
17943
STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
02/26/2021
Last updated
10/20/2023
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