Active NPI
Lolita Miller, M.D.
- Pediatrics Physician
- Lauderhill, FL
National Provider Identifier
1104897404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME101266
- Practice address
- 4500 Inverrary Blvd
Lauderhill, FL 33319-4104 - Phone
- (954) 748-2977
- NPI assigned
- Jan 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 179859 | NY | |
| Pediatrics Physician | 208000000X | ME101266 | FL | Primary |
Addresses
Primary practice location
4500 Inverrary Blvd
Lauderhill, FL 33319-4104
Mailing address
800 SW 137TH Ave
Unit 212
Pembroke Pines, FL 33027-3552
Phone (954) 436-0062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME101266 | FL | MD | Pediatrics Physician |
| 179859 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inverrary Medical Center, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Physician Assistant
- Lauderhill, FL
- NPI 1801059712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247097600000",
"number": "1104897404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SW 137TH AVE",
"address_2": "UNIT 212",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330273552",
"telephone_number": "954-436-0062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 INVERRARY BLVD",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333194104",
"telephone_number": "954-748-2977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LOLITA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2009-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "179859",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME101266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lauderhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.