Individual
LARRY L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1950 LAUREL MANOR DR, SUITE 204, THE VILLAGES, FL 32162-5603
(352) 427-8843
Mailing address
5312 NE 23RD AVE, OCALA, FL 34479-7220
(352) 427-8843
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA57809
FL
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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