Individual
AHMAD MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 8TH AVE E, BRADENTON, FL 34208-1940
(941) 284-2223
Mailing address
120 8TH AVE E, BRADENTON, FL 34208-1940
(941) 284-2223
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
5618-9-GA
FL
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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