Individual
LATESIA LATONYA MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3523 NW 14TH CT, FORT LAUDERDALE, FL 33311-8489
(954) 560-6499
Mailing address
3523 NW 14TH CT, FORT LAUDERDALE, FL 33311-8489
(954) 560-6499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9522588
FL
164W00000X
Licensed Practical Nurse
PN 5157469
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11040477
FL
Other
Enumeration date
12/18/2014
Last updated
09/29/2025
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