Individual
MRS. THERESA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INDEPENDENT PROVIDER
Contact information
Practice address
2942 HICKORY CREEK DRIVE, ORLANDO, FL 32818
(407) 522-7970
(407) 522-7970
Mailing address
PO BOX 680729, ORLANDO, FL 32868
(407) 522-7970
(407) 522-7970
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
385HR2065X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692253896
—
FL
05
—
692253898
—
FL
Enumeration date
04/17/2008
Last updated
04/17/2008
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