Individual
ROBERTA JO MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9750 FLEMING GRANT RD, MICCO, FL 32976-3326
(561) 818-7699
Mailing address
9750 FLEMING GRANT RD, MICCO, FL 32976-3326
(561) 818-7699
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11004362
FL
363LG0600X
Gerontology Nurse Practitioner
11004362
FL
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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