Search › Florida › 222Q00000X
Mariela Miccio
NPI 1497163570 · on the registry since 2014 · sole proprietor
Practice
- Address
- 6160 Sw 195th Ave
Fort Lauderdale, FL 33332 - Phone
- (786) 348-6957
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Also registered as
- 224Z00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-10
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