Provider Demographics
NPI:1952739369
Name:MILLER, BEN AARON (LAC, AP)
Entity Type:Individual
Prefix:
First Name:BEN
Middle Name:AARON
Last Name:MILLER
Suffix:
Gender:M
Credentials:LAC, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7207 NW 80TH ST
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-7066
Mailing Address - Country:US
Mailing Address - Phone:786-512-9790
Mailing Address - Fax:
Practice Address - Street 1:2840 CENTER PORT CIR
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-2136
Practice Address - Country:US
Practice Address - Phone:954-545-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-22
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2075171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist