Organization
LAURENCE MILLER PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENCE MILLER PHD (OWNER)
(561) 392-8881
Entity
Organization
Contact information
Practice address
399 CAMINO GARDENS BLVD, SUITE101, BOCA RATON, FL 33432-5828
(561) 392-8881
Mailing address
399 CAMINO GARDENS BLVD, SUITE101, BOCA RATON, FL 33432-5828
(561) 392-8881
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY4413
FL
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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