Individual
AJAYI MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
1435 W BUSCH BLVD, STE 201 A, TAMPA, FL 33612-7621
(813) 473-2744
(813) 434-1624
Mailing address
1435 W BUSCH BLVD, STE 201 A, TAMPA, FL 33612-7621
(813) 473-2744
(813) 434-1624
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 68053
FL
372600000X
Adult Companion
15904
FL
376J00000X
Homemaker
15904
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006109200
—
FL
Enumeration date
05/14/2012
Last updated
07/01/2013
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