Individual
ELEANOR MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
555 W GRANADA BLVD STE D6, ORMOND BEACH, FL 32174-5196
(386) 615-8195
Mailing address
PO BOX 1331, ORMOND BEACH, FL 32175-1331
(386) 451-3602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA022833
FL
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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