Provider Demographics
NPI:1831215367
Name:MILLER, ROSANI MARGARETE
Entity type:Individual
Prefix:MRS
First Name:ROSANI
Middle Name:MARGARETE
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7095 POND CYPRESS CT
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-7860
Mailing Address - Country:US
Mailing Address - Phone:239-595-4513
Mailing Address - Fax:239-433-6703
Practice Address - Street 1:1205 PIPER BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1387
Practice Address - Country:US
Practice Address - Phone:239-595-4513
Practice Address - Fax:844-803-5225
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13605101YM0800X
222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL768227100Medicaid