Michael Miller Jr.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA58063 Issued in FL

Practice address

300 Hollywood Way
Hollywood, FL 33021-7059

Phone

(786) 397-4133

NPI assigned

Apr 12, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1831532423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20511 NW 25TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330561545",
            "telephone_number": "786-397-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOLLYWOOD WAY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217059",
            "telephone_number": "786-397-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "FL",
            "license": "MA58063",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA58063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Allan Miller, D.C.
• Diana Lynn Miller, APRN
• Edward C Miller, OD
• Halbert Bayless Miller, M.D.
• Ian Miller, DO
• Morgan G Miller, M.S.
• Pamela Miller, PA-C
• Shelly A Miller, MD
• Sherron Lurline Miller, APRN
• Emily Millingen

• Massage Therapist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.