Search › Florida › 104100000X
Stacie Miller
NPI 1336869122 · on the registry since 2022 · sole proprietor
Practice
- Address
- 3261 Us Hwy 441
Suite B3
Fruitland Park, FL 34731 - Phone
- (352) 323-0612
- Fax
- (352) 787-2386
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 222Q00000X
252Y00000X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida