Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marisa Marie Miller

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174144455

Marisa Marie Miller is a Student in an Organized Health Care Education/Training Program in Davie, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3200 S University Dr
Davie, FL 33328-2018
Phone: (954) 262-1250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9115338 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174144455
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 28, 2020
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021

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